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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

Primary

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

1457610487

Data 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
Community Care Network INC - NPI 1457610487 | Provider Verification | HormoneMap