East Chicago Community Health Center

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

EAST CHICAGO COMMUNITY HEALTH CENTER

Practice address

3903 Indianapolis Blvd
East Chicago Community Health Center at Regional
East Chicago, IN 46312-0000

Phone

(219) 397-1196

Fax

(219) 398-1630

NPI assigned

Oct 6, 2011

Organization subpart

Yes

Parent organization

EAST CHICAGO COMMUNITY HEALTH CENTERAs 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) 397-1196

Specialties & licenses 1

Addresses

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": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1639453871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59",
            "address_2": "1313 WEST CHICAGO AVE",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463120000",
            "telephone_number": "219-397-1196",
            "fax_number": "219-398-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 INDIANAPOLIS BLVD",
            "address_2": "EAST CHICAGO COMMUNITY HEALTH CENTER AT REGIONAL",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463120000",
            "telephone_number": "219-397-1196",
            "fax_number": "219-398-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST CHICAGO COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST CHICAGO COMMUNITY HEALTH CENTER",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-397-1196",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey B. Dubnow, MD
• Clementine Dubose
• Jessica Dudley, CNM
• Erica Dunham, BSW
• Donell Dunson
• East Chicago Community Health Center, Inc
• East Chicago Community Health Center, Inc.
• East Chicago Health Department
• Secili Echols
• Ashiya Edmond

• Federally Qualified Health Center (FQHC) in East Chicago, IN
• Providers in East Chicago, IN by specialty
• Federally Qualified Health Center (FQHC) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.