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REGIONAL HEALTH CLINIC
NPI 1477007292
Clinic/Center - Federally Qualified Health Center (FQHC) in Merrillville, IN

Active since August 10, 2016CLIA Certified · 2 labs
8555 TAFT ST, MERRILLVILLE, IN 46410(219) 937-3300(219) 757-1950 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2023, Aug 10, 2016 (2 updates tracked since 2016).

About Regional Health Clinic NPPES

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

REGIONAL HEALTH CLINIC (NPI 1477007292) is a healthcare organization registered as a federally qualified health center (fqhc) in Merrillville, Indiana and active in the NPI registry since August 2016. The organization holds 2 active CLIA laboratory certificates and lists Robert Krumwied, Ceo, as its authorized official.

NPPES Registry Identity

NPI1477007292
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTHLAKE COMMUNITY MENTAL HEALTH CENTER, INC.
Location Address8555 TAFT STMerrillville, IN 46410-6123
Mailing Address8400 Louisiana StMerrillville, IN 46410-6385 · (219) 757-1924 · Fax (219) 757-1928
Phone(219) 937-3300
Fax(219) 757-1950
Organization SubpartNo
Authorized OfficialRobert KrumwiedCeo · (219) 769-4005
Enumeration DateAugust 10, 2016
Last NPPES UpdateAugust 15, 20232 updates tracked since enumeration
NPPES CertifiedAugust 15, 2023
✔ NPI 1477007292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
8555 TAFT ST, Merrillville, IN 46410
Open in Google Maps ↗

Other Names 1

Doing Business AsRegional Health Clinic

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 2

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 15D2296719

Regional Health Clinic - Mobile Unit · Merrillville, IN
Active · expires Jan 3, 2028
CLIA Number15D2296719
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 4, 2026
Certificate Expiration DateJanuary 3, 2028
Laboratory DirectorRujuta Gandhi
Laboratory Phone(219) 769-4005
Laboratory LocationRegional Health Clinic - Mobile Unit8555 Taft Street, Room 101, Merrillville, IN 46410
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2131942

Regional Health Clinic · Merrillville, IN
Active · expires Jun 7, 2027
CLIA Number15D2131942
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJune 8, 2025
Certificate Expiration DateJune 7, 2027
Laboratory DirectorKobie I. Douglas
Laboratory Phone(219) 769-4005
Laboratory LocationRegional Health Clinic8555 Taft St, Merrillville, IN 46410
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.

MARY SULLIVAN BLS
Counselor (Mental Health)
8555 TAFT ST
MERRILLVILLE, IN 46410
Lake County (219) 769-4005
MONIKA MARIE SEGALLY
Counselor
8555 TAFT ST
MERRILLVILLE, IN 46410
Lake County (219) 769-4005
MELISSA SANCHEZ BA
Counselor
8555 TAFT ST
MERRILLVILLE, IN 46410
Lake County (219) 769-4005
ABEL MARTINEZ BA
Counselor
8555 TAFT ST
MERRILLVILLE, IN 46410
Lake County (219) 769-4005
SHIRLEY H RAINFORD BA
Counselor
8555 TAFT ST
MERRILLVILLE, IN 46410
Lake County (219) 769-4005
MS. CHRISTINE M JUDA
Registered Nurse
8555 TAFT ST
MERRILLVILLE, IN 46410
Lake County (219) 937-3300
CRYSTAL KOMACSAR LCAC
Counselor (Addiction (Substance Use Disorder))
8555 TAFT ST
MERRILLVILLE, IN 46410
Lake County (219) 769-4005
BREYAUNA SPENCER
Psychiatry & Neurology (Psychiatry)
8555 TAFT ST
MERRILLVILLE, IN 46410
Lake County (313) 346-5235

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 Southlake Community Mental Health Center, Inc.'s NPI number?

The NPI number for Southlake Community Mental Health Center, Inc. is 1477007292. It was assigned to this organization in the NPPES registry on August 10, 2016. The provider is doing business as Regional Health Clinic.

Where is Southlake Community Mental Health Center, Inc. located?

Southlake Community Mental Health Center, Inc. is located at 8555 Taft St, Merrillville, IN 46410. The listed phone number is (219) 937-3300.

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.

Does Southlake Community Mental Health Center, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Southlake Community Mental Health Center, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Southlake Community Mental Health Center, Inc. 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 Southlake Community Mental Health Center, Inc. was last updated on August 15, 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.