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GARY CITY URGENT AND IMMEDIATE CARE LLC
NPI 1164033676
Family Medicine in Gary, IN

Active since August 10, 2020CLIA 15D2185747 · Waiver

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2023, Dec 9, 2020, Aug 10, 2020 (3 updates tracked since 2020).

About Gary City Urgent And Immediate Care Llc NPPES

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

GARY CITY URGENT AND IMMEDIATE CARE LLC (NPI 1164033676) is a healthcare organization registered as a family medicine in Gary, Indiana and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through June 8, 2028 and lists Paul Okolocha, Owner, as its authorized official.

NPPES Registry Identity

NPI1164033676
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGARY CITY WORKING AND PROCEDURE CLINIC LLC-S
Location Address1701 BROADWAYGary, IN 46407-2238
Mailing Address1701 BroadwayGary, IN 46407-2238 · (219) 882-0980
Phone(219) 882-0980
Organization SubpartNo
Authorized OfficialPaul OkolochaOwner · (219) 882-0980
Enumeration DateAugust 10, 2020
Last NPPES UpdateFebruary 8, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
✔ NPI 1164033676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1701 BROADWAY, Gary, IN 46407
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Other Names 1

Other NameGary City Urgent And Immediate Care Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.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 15D2185747

Gary City Working And Procedure Clinic LLC · Gary, IN
Active · expires Jun 8, 2028
CLIA Number15D2185747
Laboratory TypePhysician Office
Certificate Effective DateJune 9, 2026
Certificate Expiration DateJune 8, 2028
Laboratory DirectorPaul C. Okolocha
Laboratory Phone(219) 882-2980
Laboratory LocationGary City Working And Procedure Clinic LLC1701 Broadway, Gary, IN 46407
CLIA data matches this NPI record on: Address Name
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.

SANDRA R GATES-MANNA NP
Nurse Practitioner (Family)
1701 BROADWAY
GARY, IN 46407
Lake County (219) 949-7540
HANIFA WAARITH
Family Medicine
1701 BROADWAY
GARY, IN 46407
Lake County (219) 882-0980
CHUBE MEDICAL CORPORATION
Family Medicine
1701 BROADWAY
GARY, IN 46407
Lake County (219) 882-0980

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary City Working And Procedure Clinic Llc-S's NPI number?

The NPI number for Gary City Working And Procedure Clinic Llc-S is 1164033676. It was assigned to this organization in the NPPES registry on August 10, 2020. The provider is also known as Gary City Urgent And Immediate Care LLC.

Where is Gary City Working And Procedure Clinic Llc-S located?

Gary City Working And Procedure Clinic Llc-S is located at 1701 Broadway, Gary, IN 46407. The listed phone number is (219) 882-0980.

What is Gary City Working And Procedure Clinic Llc-S's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Gary City Working And Procedure Clinic Llc-S hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2185747) is associated with this NPI, valid through June 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gary City Working And Procedure Clinic Llc-S accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Gary City Working And Procedure Clinic Llc-S as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gary City Working And Procedure Clinic Llc-S was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.