IMMANUEL FAMILY HEALTH CENTER
NPI 1043375934
Clinic/Center - Primary Care in East Chicago, IN

Active since December 22, 2006CLIA 15D0956269 · Waiver
915 W CHICAGO AVE, EAST CHICAGO, IN 46312(219) 397-6000(219) 397-6358 Get Directions Write a Review

NPPES record last updated: June 18, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Immanuel Family Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMMANUEL FAMILY HEALTH CENTER (NPI 1043375934) is a healthcare organization registered as a primary care in East Chicago, Indiana and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through January 23, 2027 and lists Kanayo K Odeluga, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1043375934
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCHIKARE HEALTH SERVICES INC
Location Address915 W CHICAGO AVEEast Chicago, IN 46312
Mailing Address915 W Chicago AveEast Chicago, IN 46312-3308 · (219) 397-6000 · Fax (219) 397-6358
Fax(219) 397-6358
Organization SubpartNo
Authorized OfficialKanayo K OdelugaOwner/md · (219) 397-6000
Enumeration DateDecember 22, 2006
Last NPPES UpdateJune 18, 2019
NPI 1043375934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
915 W CHICAGO AVE, East Chicago, IN 46312

Other Names 1

Doing Business AsImmanuel Family Health Center

Other Identifiers 3

OtherCG2552Palmeto Gba Medica
Other15D0956269IN · Clia
Medicaid200210560AIN

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D0956269

Chikare Health Services Inc · East Chicago, IN
Active · expires Jan 23, 2027
CLIA Number15D0956269
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorKanayo Odeluga
Laboratory Phone(219) 397-6000
Laboratory LocationChikare Health Services Inc915 W Chicago Ave, East Chicago, IN 46312
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
915 W CHICAGO AVE
EAST CHICAGO, IN 46312
Nurse Practitioner (Family)
915 W CHICAGO AVE
EAST CHICAGO, IN 46312
Clinic/Center (Federally Qualified Health Center (FQHC))
915 W CHICAGO AVE
EAST CHICAGO, IN 46312

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043375934, enumerated as an "organization" on December 22, 2006.

The provider is located at 915 W CHICAGO AVE EAST CHICAGO, IN 46312 and the phone number is (219) 397-6000.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.