| Community Care Center | |
|
800 Macarthur Boulevard Ste 11 Munster IN 46321-2917 | |
| (219) 836-6839 | |
| (219) 836-6809 |
| Full Name | Community Care Center |
|---|---|
| Speciality | Family Medicine |
| Location | 800 Macarthur Boulevard, Munster, Indiana |
| Authorized Official Name and Position | Donald P Fesko (CEO) |
| Authorized Official Contact | 2198361600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Care Center 800 Macarthur Boulevard Ste 11 Munster IN 46321-2917 Ph: (219) 836-6839 | Community Care Center 800 Macarthur Boulevard Ste 11 Munster IN 46321-2917 Ph: (219) 836-6839 |
| NPI Number | 1588663579 |
|---|---|
| Provider Enumeration Date | 07/20/2005 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588663579 | NPI | - | NPPES |
| CH4735 | Other | IN | MEDICARE RAILROAD |
| 90000970 | Other | IN | BCBS OF ILLINOIS |
| 200289040C | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Indiana) | Primary |
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