DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC.

MEDICARE: SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC.
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821081290
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC.
Provider Business Mailing Address
First Line : 8400 LOUISIANA ST
Second Line :
City : MERRILLVILLE
State : IN
Zip : 46410-6385
Country : US
Telephone Number : 219-757-1928
Fax Number : 219-757-1950
Provider Business Practice Location Address
First Line : 8555 TAFT ST
Second Line :
City : MERRILLVILLE
State : IN
Zip : 46410-6123
Country : US
Telephone Number : 219-769-4005
Fax Number : 219-769-0620
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MR. ROBERT KRUMWIED
Credential :
Telephone Number : 219-757-1970
Provider Enumeration Date : 08/31/2005
Last Update Date : 06/18/2009

Similar Medicare Providers

1356333587 — LAURA LYNN MOSENG HSPP
Practice Location Address:
8555 TAFT ST
MERRILLVILLE, IN
46410-6123
Practice Phone: 219-769-4005
Practice Fax: 219-769-2508
1902899388 — EDWARD GURAUSKAS HSPP
Practice Location Address:
8555 TAFT ST
MERRILLVILLE, IN
46410-6123
Practice Phone: 219-769-4005
Practice Fax: 219-769-2508
1174517841 — PETER GALLAGHER MD
Practice Location Address:
8555 TAFT ST
MERRILLVILLE, IN
46410-6123
Practice Phone: 219-769-4005
Practice Fax: 219-769-2508
1942269840 — CAMI ANTRIM LMHC
Practice Location Address:
8555 TAFT ST
MERRILLVILLE, IN
46410-6123
Practice Phone: 219-769-4005
Practice Fax: 219-769-2508
1093738296 — MOHAMMAD JAVED M.D
Practice Location Address:
8555 TAFT ST
MERRILLVILLE, IN
46410-6123
Practice Phone: 219-769-4005
Practice Fax: 219-769-2508
1184792020 — DR. QUN WU MD, MB
Practice Location Address:
8555 TAFT ST
MERRILLVILLE, IN
46410-6123
Practice Phone: 773-490-1544
Practice Fax: 219-769-2508

Directions to “SOUTHLAKE COMMUNITY MENTAL HEALTH CENTER INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.