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REFUGE CLINIC, LLC
NPI 1548148752
Family Medicine - Addiction Medicine in Crown Point, IN

Active since August 25, 2025
9150 E 109TH AVE STE 2B, CROWN POINT, IN 46307(219) 213-2947(219) 310-8175 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Refuge Clinic, Llc NPPES

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

REFUGE CLINIC, LLC (NPI 1548148752) is a healthcare organization registered as an addiction medicine in Crown Point, Indiana and active in the NPI registry since August 2025. The organization lists Brent Jacobus, Owner Physician, as its authorized official.

NPPES Registry Identity

NPI1548148752
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameREFUGE CLINIC, LLC
Location Address9150 E 109TH AVE STE 2BCrown Point, IN 46307-7686
Mailing Address9150 E 109th Ave Ste 2bCrown Point, IN 46307-7686 · (219) 213-2947 · Fax (219) 310-8175
Phone(219) 213-2947
Fax(219) 310-8175
Organization SubpartYesParent: Nwi Mdvip Llc
Authorized OfficialBrent JacobusOwner Physician · (219) 306-0752
Enumeration DateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
✔ NPI 1548148752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
9150 E 109TH AVE STE 2B, Crown Point, IN 46307
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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

Other Providers at the Same Location NPPES

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

NWI MDVIP LLC
Family Medicine
9150 E 109TH AVE STE 2B
CROWN POINT, IN 46307
Lake County (219) 213-2947

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 Refuge Clinic, LLC's NPI number?

The NPI number for Refuge Clinic, LLC is 1548148752. It was assigned to this organization in the NPPES registry on August 25, 2025.

Where is Refuge Clinic, LLC located?

Refuge Clinic, LLC is located at 9150 E 109th Ave Ste 2B, Crown Point, IN 46307. The listed phone number is (219) 213-2947.

What is Refuge Clinic, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Refuge Clinic, LLC was last updated on August 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.