EDGEWATER SYSTEMS FOR BALANCED LIVING, INC
NPI 1366043457
Clinic/Center - Federally Qualified Health Center (FQHC) in Griffith, IN

Active since November 04, 2020
1212 N BROAD ST, GRIFFITH, IN 46319(219) 838-1270 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Edgewater Systems For Balanced Living, Inc NPPES

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

EDGEWATER SYSTEMS FOR BALANCED LIVING, INC (NPI 1366043457), doing business as Primary Care-griffith, is a healthcare organization registered as a federally qualified health center (fqhc) in Griffith, Indiana and active in the NPI registry since November 2020. The organization lists Danita Johnson Hughes, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366043457
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEDGEWATER SYSTEMS FOR BALANCED LIVING, INC
Location Address1212 N BROAD STGriffith, IN 46319-1534
Mailing Address1100 W 6th AveGary, IN 46402-1711 · (219) 885-4264
Organization SubpartNo
Authorized OfficialDanita Johnson HughesCeo · (219) 885-4264
Enumeration DateNovember 4, 2020
NPPES CertifiedNovember 4, 2020
NPI 1366043457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1212 N BROAD ST, Griffith, IN 46319

Other Names 1

Doing Business AsPrimary Care-griffith

Accepted Insurance

Other Providers at the Same Location NPPES

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

Podiatrist (Foot & Ankle Surgery)
1212 N BROAD ST
GRIFFITH, IN 46319

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366043457, enumerated as an "organization" on November 04, 2020.

The provider is located at 1212 N BROAD ST GRIFFITH, IN 46319 and the phone number is (219) 838-1270.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

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