Provider Demographics
NPI:1346480365
Name:HAMMOND COMMUNITY AMBULATORY CARE CENTER L.L.C.
Entity Type:Organization
Organization Name:HAMMOND COMMUNITY AMBULATORY CARE CENTER L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/MEDICA DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BHARATI
Authorized Official - Middle Name:V
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:219-473-1700
Mailing Address - Street 1:2143 CALUMET AVE
Mailing Address - Street 2:
Mailing Address - City:WHITING
Mailing Address - State:IN
Mailing Address - Zip Code:46394-1818
Mailing Address - Country:US
Mailing Address - Phone:219-473-1700
Mailing Address - Fax:219-473-1707
Practice Address - Street 1:2143 CALUMET AVE
Practice Address - Street 2:
Practice Address - City:WHITING
Practice Address - State:IN
Practice Address - Zip Code:46394-1818
Practice Address - Country:US
Practice Address - Phone:219-473-1700
Practice Address - Fax:219-473-1707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-03
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical