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Southlake Community Mental Health Center, Inc

Federally Qualified Health Center (FQHC) in East Chicago, IN · enumerated 2015 · authorized official Robert Krumwied, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1376919217

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Registry record

Entity type Organization (Type 2)
Legal business name Southlake Community Mental Health Center, Inc
Other name <Unavail>
Practice address 3903 Indianapolis Blvd, East Chicago, IN, 46312
Fax (219) 392-6998
Enumeration date Aug 14, 2015
Last updated in NPPES Jul 1, 2016

Taxonomy & classification

261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary

Authorized official

Name Robert Krumwied
Title Ceo

Other identifiers

Identifier Type State Issuer
201323280A Medicaid IN -
15D2100511 Other IN CLIA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Southlake Community Mental Health Center, Inc?
Southlake Community Mental Health Center, Inc is registered in NPPES as a Federally Qualified Health Center (FQHC) (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-07-01.