NPIMap

Organization Active NPI

Gary Health Department

  • Registered Nurse
  • Gary, IN
National Provider Identifier
1992075592
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
28093654A Issued in IN
Legal business name
GARY HEALTH DEPARTMENT
Practice address
1145 W 5TH Ave
Gary, IN 46402-1704
Phone
(219) 882-5565
Fax
(219) 882-8213
NPI assigned
Jan 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 28093654A IN Primary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
State or Local Public Health Clinic/Center 261QP0905X

Addresses

Primary practice location

1145 W 5TH Ave
Gary, IN 46402-1704

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326326400000",
    "number": "1992075592",
    "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": "219-882-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 W 5TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464021704",
            "telephone_number": "219-882-5565",
            "fax_number": "219-882-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2012-01-12",
        "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",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28093654A",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 12, 2012; 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.