Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FORDEM HEALTH, LLC
Deactivated OrganizationFORDEM HEALTH, LLC is a Medical Specialty Clinic organization located in MUNSTER, Indiana. NPI 1639622236 is deactivated in the NPPES registry. Verify at CMS.
Medical Specialty Clinic · MUNSTER, IN
This NPI has been deactivated.
The record was deactivated on October 5, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1639622236
- Provider Type
- Organization
- NPI Issued
- Jul 31, 2016 (4.1808219178082 yrs)
- Last Updated
- Oct 28, 2020
- Deactivated
- Oct 5, 2020
- License
-
02001522 (IN)
Practice Information
- Address
-
1313 PARK DRMUNSTER, IN, 463212634Browse IN providers · Browse ZIP 46321
- Phone
- 8777572568
- Primary Specialty
-
Medical Specialty Clinic
261QM2500X
Other Medical Specialty Clinic Organizations in MUNSTER, IN
| Name | NPI |
|---|---|
| CALUMET INTERNIST PC | 1659439115 |
| TERRY EBERT, MD, INC | 1417173717 |
| LAYOUS LLC | 1598144040 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.