Southlake Community Mental Health Center, Inc
NPI 1376919217 · Federally Qualified Health Center (FQHC) · East Chicago, IN
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southlake Community Mental Health Center, Inc is a Federally Qualified Health Center (FQHC) organization in East Chicago, IN (NPI 1376919217).
Provider details
- NPI number
- 1376919217
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Krumwied, Ceo(219) 736-7183
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Regional Health Clinic
Registry dates
- Enumerated
- 2015-08-14
- Last updated
- 2016-07-01
Frequently asked questions
- What is Southlake Community Mental Health Center, Inc's NPI number?
- Southlake Community Mental Health Center, Inc's National Provider Identifier (NPI) is 1376919217, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southlake Community Mental Health Center, Inc?
- Southlake Community Mental Health Center, Inc is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Southlake Community Mental Health Center, Inc located?
- Southlake Community Mental Health Center, Inc's practice location on file with NPPES is 3903 Indianapolis Blvd, East Chicago, IN 46312-2555.
- What is Southlake Community Mental Health Center, Inc's phone number?
- The practice phone number listed in the NPPES registry for Southlake Community Mental Health Center, Inc is (219) 398-7050.
- Does Southlake Community Mental Health Center, Inc accept Medicare?
- Southlake Community Mental Health Center, Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southlake Community Mental Health Center, Inc?
- The authorized official listed on Southlake Community Mental Health Center, Inc's NPPES record is Robert Krumwied, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southlake Community Mental Health Center, Inc's NPI active?
- Yes — Southlake Community Mental Health Center, Inc's NPI (1376919217) is active in the NPPES registry as of the last update on 2016-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.