| Community Care Network | |
|
505 West Us Highway 30 Schererville IN 46375-2650 | |
| (219) 322-3311 | |
| (219) 322-8210 |
| Full Name | Community Care Network |
|---|---|
| Speciality | Family Medicine |
| Location | 505 West Us Highway 30, Schererville, 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 Network 505 West Us Highway 30 Schererville IN 46375-2650 Ph: (219) 322-3311 | Community Care Network 505 West Us Highway 30 Schererville IN 46375-2650 Ph: (219) 322-3311 |
| NPI Number | 1801053426 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 04/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801053426 | NPI | - | NPPES |
| 200289040 | Medicaid | IN | |
| 200902230A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Indiana) | Primary |
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