OrganizationActive
Edgewater Systems for Balanced Living, Inc
NPI 1366043457 · Federally Qualified Health Center (FQHC) · Griffith, IN
Provider details
- NPI number
- 1366043457
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Danita Hughes, Ceo(219) 885-4264
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1212 N Broad St
Griffith, IN 46319-1534
Phone: (219) 838-1270
Approximate (ZIP-level) locationGet directions
Mailing address
1100 W 6th Ave
Gary, IN 46402-1711
Other names (DBA / former)
- Doing business as
- Primary Care-Griffith
Registry dates
- Enumerated
- 2020-11-04
- Last updated
- 2020-11-04
- Certified
- 2020-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.