REGIONAL HEALTH CLINIC
NPI 1376919217
Clinic/Center - Federally Qualified Health Center (FQHC) in East Chicago, IN

Q: What is Southlake Community Mental Health Center, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since August 14, 2015CLIA 15D2100511 · Waiver

3903 INDIANAPOLIS BLVD, EAST CHICAGO, IN 46312(219) 398-7050(219) 392-6998 Get Directions Write a Review

NPPES record last updated: July 1, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Regional Health Clinic NPPES

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

REGIONAL HEALTH CLINIC (NPI 1376919217) is a healthcare organization registered as a federally qualified health center (fqhc) in East Chicago, Indiana and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through August 16, 2027 and lists Robert Krumwied, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376919217

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSOUTHLAKE COMMUNITY MENTAL HEALTH CENTER, INC

Location Address3903 INDIANAPOLIS BLVDEast Chicago, IN 46312-2555

Mailing Address8400 Louisiana StMerrillville, IN 46410-6385 · (219) 757-1924 · Fax (219) 757-1950

Phone(219) 398-7050

Fax(219) 392-6998

Organization SubpartNo

Authorized OfficialRobert KrumwiedCeo · (219) 736-7183

Enumeration DateAugust 14, 2015

Last NPPES UpdateJuly 1, 2016

✔ NPI 1376919217 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

3903 INDIANAPOLIS BLVD, East Chicago, IN 46312

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Other Names 1

Doing Business AsRegional Health Clinic

Other Identifiers 3

Other15D2100511IN · Clia

Medicaid201323280AIN

Medicare PIN15-1958IN

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 and more.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 15D2100511

Regional Health Clinic · East Chicago, IN

Active · expires Aug 16, 2027

CLIA Number15D2100511

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateAugust 17, 2025

Certificate Expiration DateAugust 16, 2027

Laboratory DirectorKobie I. Douglas

Laboratory Phone(219) 398-7050

Laboratory LocationRegional Health Clinic3903 Indianapolis Blvd, 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 20

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

MS. CYNTHIA R BEJSTER LCSW

Social Worker (Clinical)