Organization · Type 2 NPI

Fordem Health, LLC

Medical Specialty Clinic/Center · Munster, IN

NPI number 1639622236 Active · reactivated Oct 28, 2020

Practice location

1313 Park Dr
Munster, IN 46321-2634

Mailing address

730 45th Ave
Munster, IN 46321-2818

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X02001522 (IN)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1639622236

Fordem Health, LLC's National Provider Identifier is 1639622236, issued on Jul 31, 2016. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Munster, IN. The record was last updated on Oct 28, 2020.