MEDICARE: GARY HEALTH DEPARTMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	1223G0001X	General Practice Dentistry
2	207Q00000X	Family Medicine Physician
3	207VX0000X	Obstetrics Physician
4	208000000X	Pediatrics Physician
5	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1659415214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARY HEALTH DEPARTMENT

Provider Business Mailing Address
First Line	:	1145 W 5TH AVE
Second Line	:
City	:	GARY
State	:	IN
Zip	:	46402-1704
Country	:	US
Telephone Number	:	219-882-5565
Fax Number	:	219-884-2756

Provider Business Practice Location Address
First Line	:	2200 GRANT ST
Second Line	:	SUITE 204
City	:	GARY
State	:	IN
Zip	:	46404-3439
Country	:	US
Telephone Number	:	219-887-5146
Fax Number	:	219-884-2756

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	SHIRLEY HAWKINS
Credential	:
Telephone Number	:	219-882-5565

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	09/11/2025

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Directions to “GARY HEALTH DEPARTMENT ” Practice Location

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