NPI Verification
National Provider Identifier: 1457610487
Community Care Network INC
Organization
Primary Specialty
Family Medicine
Code: 207Q00000X
All Specialties (14)
Midwife
Code: 176B00000X
Family Medicine
Code: 207Q00000X
Internal Medicine
Code: 207R00000X
Neurological Surgery
Code: 207T00000X
Obstetrics & Gynecology
Code: 207V00000X
Pediatrics
Code: 208000000X
Psychiatry & Neurology, Neurology
Code: 2084N0400X
Surgery
Code: 208600000X
Urology
Code: 208800000X
General Practice
Code: 208D00000X
Pain Medicine, Interventional Pain Medicine
Code: 208VP0014X
Physician Assistant
Code: 363A00000X
Nurse Practitioner
Code: 363L00000X
Clinical Nurse Specialist
Code: 364S00000X
Practice Address
9660 WICKER AVE
ST JOHN, IN 463739487
Phone: 219-365-7620
NPI Enumeration Date
May 11, 2012
NPI Number
1457610487Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.
View on CMS NPPES Registry