Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edgewater Systems for Balanced Living, Inc

Organization Federally Qualified Health Center (FQHC) · NPI 1093670648

Edgewater Systems for Balanced Living, Inc is a Federally Qualified Health Center (FQHC) in Gary, Indiana. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

900 Gerry St
Gary, IN 46406
Phone: (844) 433-4392
Fax: (219) 888-9867
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X

Record details

NPI number1093670648
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Danita Johnson-Woods — Ceo · (219) 885-4264
NPI enumeratedDecember 17, 2025
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025
Mailing address1100 W 6th Ave, Gary, IN 46402-1711

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