Southlake Community Mental Health Center, Inc.
NPI 1508297540 · Federally Qualified Health Center (FQHC) · Hammond, 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 Hammond, IN (NPI 1508297540).
Provider details
- NPI number
- 1508297540
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bob Krumwied, Ceo(219) 769-4005
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
12 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 Community Health Center- Homeless Site
Registry dates
- Enumerated
- 2013-12-02
- Last updated
- 2025-09-29
- Certified
- 2025-09-29
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 1508297540, 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 527 State St, Hammond, IN 46320-1533.
- 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) 803-7252.
- 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 Bob 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 (1508297540) is active in the NPPES registry as of the last update on 2025-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.