Provider Demographics
NPI:1043982440
Name:NEW BEGINNINGS HEALTH CENTER
Entity Type:Organization
Organization Name:NEW BEGINNINGS HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MATOSKI
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:219-671-1881
Mailing Address - Street 1:1101 GLENDALE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-3789
Mailing Address - Country:US
Mailing Address - Phone:219-510-8888
Mailing Address - Fax:833-941-2562
Practice Address - Street 1:109 FORDWICK LN
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-1416
Practice Address - Country:US
Practice Address - Phone:219-671-1881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-04
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center