Organization Active NPI

The Women'S Center of Northwest Indiana

  • Clinic/Center
  • Crown Point, IN
National Provider Identifier
1790143089
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THE WOMEN'S CENTER OF NORTHWEST INDIANA
Practice address
1845 E Summit St
Crown Point, IN 46307-2768
Phone
(219) 663-5300
Fax
(219) 663-5303
NPI assigned
Feb 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

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

Authorized official

Name
Jackie Moffitt
Title
Executive Director
Phone
(219) 663-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1845 E Summit St
Crown Point, IN 46307-2768

Mailing address

PO Box 1337
Crown Point, IN 46308-1337

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D1054562Women'S Center of Northwest Indiana the1845 E Summit St, Crown Point, IN 46307Certificate of waiverMay 23, 2028

National Provider Directory

National Provider Directory

Locations

1845 E Summit St
Crown Point, IN 46307
Phone (219) 663-5300

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1790143089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1337",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463081337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 E SUMMIT ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463072768",
            "telephone_number": "219-663-5300",
            "fax_number": "219-663-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOMEN'S CENTER OF NORTHWEST INDIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "MOFFITT",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "219-663-5300"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.