Organization Active NPI

Gary Health Department

Doing business as Maternal Child Health Clinic

  • Case Manager/Care Coordinator
  • Gary, IN
National Provider Identifier
1659415214
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
GARY HEALTH DEPARTMENT
Doing business as
Maternal Child Health Clinic
Practice address
2200 Grant St
Suite 204
Gary, IN 46404-3439
Phone
(219) 887-5146
Fax
(219) 884-2756
NPI assigned
Feb 16, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Shirley Hawkins
Title
Executive Director
Phone
(219) 882-5565

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X
Family Medicine Physician 207Q00000X
Obstetrics Physician 207VX0000X
Pediatrics Physician 208000000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

2200 Grant St
Suite 204
Gary, IN 46404-3439

Mailing address

1145 W 5TH Ave
Gary, IN 46402-1704
Phone (219) 882-5565

Other names 1

  • Maternal Child Health Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gary Health Department4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1145 W 5th Ave
Gary, IN 46402
Phone (219) 239-2319

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1659415214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 W 5TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464021704",
            "telephone_number": "219-882-5565",
            "fax_number": "219-884-2756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GRANT ST",
            "address_2": "SUITE 204",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464043439",
            "telephone_number": "219-887-5146",
            "fax_number": "219-884-2756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "219-882-5565"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maternal Child Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gary, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.