NPIMap

Organization Active NPI

Purdue University

Doing business as Purdue University Calumet Student Health Center

  • Student Health Clinic/Center
  • Hammond, IN
National Provider Identifier
1154622512
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
PURDUE UNIVERSITY
Doing business as
Purdue University Calumet Student Health Center
Practice address
2200 169TH St
Hammond, IN 46323-2068
Phone
(219) 989-2240
Fax
(219) 989-2750
NPI assigned
Nov 16, 2010
Last updated
Nov 16, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
PURDUE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Philip L. Brown
Title
Director of Procurement
Phone
(219) 989-2240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X NU Primary

Addresses

Primary practice location

2200 169TH St
Hammond, IN 46323-2068

Mailing address

2200 169TH St
Hammond, IN 46323-2068
Phone (219) 989-2240

Other names 1

  • Purdue University Calumet Student Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Purdue University Student19 organizations share this tax ID, including this one
Part of
Purdue University Student

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

2200 169th St
Hammond, IN 46323
Phone (219) 989-2240

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1154622512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 169TH ST",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463232068",
            "telephone_number": "219-989-2240",
            "fax_number": "219-989-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 169TH ST",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463232068",
            "telephone_number": "219-989-2240",
            "fax_number": "219-989-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURDUE UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PURDUE UNIVERSITY",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR OF PROCUREMENT",
        "authorized_official_telephone_number": "219-989-2240",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purdue University Calumet Student Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hammond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.