Active NPI
St Margaret Mercy Healthcare
- Clinic/Center
- Hammond, IN
National Provider Identifier
1245213990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- ST MARGARET MERCY HEALTHCARE
- Practice address
- 5454 S Hohman Ave
Hammond, IN 46320-1931 - Phone
- (219) 864-2107
- Fax
- (219) 864-2251
- NPI assigned
- Nov 28, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tom Gryzbek
- Title
- President
- Phone
- (219) 932-2300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
5454 S Hohman Ave
Hammond, IN 46320-1931
Mailing address
PO Box 1000
Dyer, IN 46311-0800
Phone (219) 864-2107
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263513600000",
"number": "1245213990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1000",
"city": "DYER",
"state": "IN",
"postal_code": "463110800",
"telephone_number": "219-864-2107",
"fax_number": "219-864-2251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5454 S HOHMAN AVE",
"city": "HAMMOND",
"state": "IN",
"postal_code": "463201931",
"telephone_number": "219-864-2107",
"fax_number": "219-864-2251"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST MARGARET MERCY HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-28",
"last_updated": "2010-01-15",
"status": "A",
"authorized_official_last_name": "GRYZBEK",
"authorized_official_first_name": "TOM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "219-932-2300"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hammond, IN
- Southlake Community Mental Health Center, Inc. (Regional Community Health Center)
- Southlake Community Mental Health Center, Inc. (Regional Community Health Center- Homeless Site)
- Yolanda A Spencer, NP
- Frieda Lorraine Spoolstra, LMHC
- Lisa A. Spudic, MS, RN, FNP
- St Margaret Mercy Healthcare Centers (Hyperbaric Medicine)
- St Margaret Mercy Healthcare Centers (Douglas Park Medical Center)
- St Margaret Mercy Healthcare Centers (Urosurgery Clinic)
- St Margaret Mercy Healthcare Centers (Wound Healing & Prevention Institute)
- St Margaret Mercy Healthcare Centers (The Spine Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.