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EDGEWATER HEALTH - MERRILLVILLE
NPI 1407457591
Clinic/Center - Federally Qualified Health Center (FQHC) in Merrillville, IN

Active since November 04, 2020
5495 BROADWAY, MERRILLVILLE, IN 46410(219) 985-5500 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 1, 2023, Nov 4, 2020 (2 updates tracked since 2020).

About Edgewater Health - Merrillville NPPES

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

EDGEWATER HEALTH - MERRILLVILLE (NPI 1407457591) is a healthcare organization registered as a federally qualified health center (fqhc) in Merrillville, Indiana and active in the NPI registry since November 2020. The organization lists Danita Johnson Hughes, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407457591
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEDGEWATER SYSTEMS FOR BALANCED LIVING, INC
Location Address5495 BROADWAYMerrillville, IN 46410-1647
Mailing Address1100 W 6th AveGary, IN 46402-1711 · (219) 885-4264
Phone(219) 985-5500
Organization SubpartNo
Authorized OfficialDanita Johnson HughesCeo · (219) 885-4264
Enumeration DateNovember 4, 2020
Last NPPES UpdateSeptember 1, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
✔ NPI 1407457591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
5495 BROADWAY, Merrillville, IN 46410
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Other Names 1

Other NameEdgewater Health - Merrillville

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 ›

Other Providers at the Same Location NPPES 6

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

MR. CHIEDU J. NCHEKWUBE M.D.
Family Medicine
5495 BROADWAY
MERRILLVILLE, IN 46410
Lake County (219) 985-5500
DEBRA DENISE GIVENS APN
Nurse Practitioner (Family)
5495 BROADWAY
MERRILLVILLE, IN 46410
Lake County (219) 985-5500
FAMILY MEDICINE & WELLNESS CENTER, P.C.
Public Health or Welfare
5495 BROADWAY
MERRILLVILLE, IN 46410
Lake County (219) 985-5500
EDGEWATER SYSTEMS FOR BALANCED LIVING, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
5495 BROADWAY
MERRILLVILLE, IN 46410
Lake County (219) 885-4264
CHAVONN L DEDEAUX FNP-C
Nurse Practitioner (Family)
5495 BROADWAY
MERRILLVILLE, IN 46410
Lake County (219) 884-4900
EDGEWATER SYSTEMS FOR BALANCED LIVING, INC.
Internal Medicine
5495 BROADWAY
MERRILLVILLE, IN 46410
Lake County (219) 884-4900

Frequently Asked Questions

What is EDGEWATER SYSTEMS FOR BALANCED LIVING, INC's NPI number?

The NPI number assigned to this healthcare provider is 1407457591, enumerated as an "organization" on November 04, 2020.

Where is the provider located?

The provider is located at 5495 BROADWAY MERRILLVILLE, IN 46410 and the phone number is (219) 985-5500.

What is the provider's specialty?

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

What insurance does EDGEWATER SYSTEMS FOR BALANCED LIVING, INC accept?

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