Gary Health Department

NPI #1992075592 in Gary, Indiana

Provider Information

NPI Number: 1992075592
Entity Type: Organization
Organization Name: Gary Health Department
Primary Specialty: Registered Nurse
Enumeration Date: Jan 12, 2012
Last Updated: Jan 12, 2012

Practice Location

Address: 1145 W 5TH AVE
City: Gary
State: Indiana
ZIP Code: 46402-1704
Phone: (219) 882-5565

Authorized Official

Name: MRS. SHIRLEY HAWKINS
Title: EXECUTIVE DIRECTOR
Phone: (219) 882-5565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Clinic/Center - Public Health, State or Local — Public Health, State or Local	261QP0905X
Registered Nurse	163W00000X	Primary

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