Organization Active NPI

Calumet Surgery Center, LLC

Doing business as Surgical Hospital of Munster

  • Special Hospital
  • Munster, IN
National Provider Identifier
1720271844
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
PENDING Issued in IN
Legal business name
CALUMET SURGERY CENTER, LLC
Doing business as
Surgical Hospital of Munster
Practice address
7847 Calumet Ave
Munster, IN 46321-1213
Phone
(219) 836-5102
Fax
(219) 836-4496
NPI assigned
Aug 22, 2007
Last updated
Aug 22, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Authorized official

Name
Denise Cheeks, RN
Title
Administrator
Phone
(219) 836-5102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X PENDING IN Primary

Addresses

Primary practice location

7847 Calumet Ave
Munster, IN 46321-1213

Mailing address

7847 Calumet Ave
Munster, IN 46321-1213
Phone (219) 836-5102

Other names 1

  • Surgical Hospital of Munster Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720271844. Details of each certification follow.

Hospital certification: CCN 150170

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SURGICAL HOSPITAL OF MUNSTER
Certification status
Terminated Voluntary: merger or closure, Apr 13, 2011
Provider type (POS)
Hospital – Short-term
Participating since
May 20, 2008
Last certification
May 20, 2008
Beds
9
Ownership / control type
Private (for profit)
Facility address
7847 Calumet Ave
Munster, IN 46321

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1720271844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7847 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211213",
            "telephone_number": "219-836-5102",
            "fax_number": "219-836-4496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7847 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211213",
            "telephone_number": "219-836-5102",
            "fax_number": "219-836-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALUMET SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "CHEEKS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "219-836-5102",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "IN",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surgical Hospital of Munster",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.