| NPI | 1407457591 |
|---|---|
| Other Name | EDGEWATER HEALTH - MERRILLVILLE |
| Entity Type | Organization |
| Authorized Contact | DANITA JOHNSON HUGHES CEO 219-885-4264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2023-09-01 |