East Chicago Community Health Center, Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

EAST CHICAGO COMMUNITY HEALTH CENTER, INC

Practice address

1313 W Chcago Avenue
East Chicago, IN 46312-0000

Phone

(219) 397-1196

Fax

(219) 398-4981

NPI assigned

Jan 29, 2007

Organization subpart

Yes

Parent organization

EAST CHICAGO COMMUNITY HEALTH CENTER, INCAs reported in NPPES

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

Authorized official

Name

Mr. Dwayne Mitchell

Title

Ceo

Phone

(219) 392-4900

Specialties & licenses 1

Addresses

Other names 1

• Healthy Lifestyles Community Health Center Other name

Part of

East Chicago Community He

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• East Chicago Community Health Center, Inc.

  • Multi-Specialty Clinic/Center
  • East Chicago, IN
  • NPI 1154381739
  NPPES parent name

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1609912492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59",
            "address_2": "1313 W CHICAGO AVENUE",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463120000",
            "telephone_number": "219-397-1196",
            "fax_number": "219-398-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 W CHCAGO AVENUE",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463120000",
            "telephone_number": "219-397-1196",
            "fax_number": "219-398-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CHICAGO COMMUNITY HEALTH CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST CHICAGO COMMUNITY HEALTH CENTER, INC",
        "enumeration_date": "2007-01-29",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-392-4900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Lifestyles Community Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Clementine Dubose
• Jessica Dudley, CNM
• Erica Dunham, BSW
• Donell Dunson
• East Chicago Community Health Center
• East Chicago Community Health Center, Inc.
• East Chicago Health Department
• Secili Echols
• Ashiya Edmond
• Safaa El Naggar, M.D.

• Multi-Specialty Clinic/Center in East Chicago, IN
• Providers in East Chicago, IN by specialty
• Multi-Specialty Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.