Community Care Network | |
1534 119th Street Whiting IN 46394-1733 | |
(219) 659-1222 | |
(219) 659-0428 |
Full Name | Community Care Network |
---|---|
Speciality | Internal Medicine |
Location | 1534 119th Street, Whiting, Indiana |
Authorized Official Name and Position | Leobardo Correa (CEO) |
Authorized Official Contact | 2193921700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Community Care Network 9660 Wicker Ave St John IN 46373-9487 Ph: (219) 226-2203 | Community Care Network 1534 119th Street Whiting IN 46394-1733 Ph: (219) 659-1222 |
NPI Number | 1750605945 |
---|---|
Provider Enumeration Date | 03/17/2010 |
Last Update Date | 07/11/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750605945 | NPI | - | NPPES |
200324900 | Medicaid | IN | |
142670 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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Occu-med Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2230 Indianapolis Blvd, Whiting, IN 46394 Phone: 219-659-0333 Fax: 219-659-0336 | |
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Whiting Health Center Operated By Premise Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2815 Indianapolis Blvd # Mc113, Whiting, IN 46394 Phone: 219-473-3072 Fax: 219-473-5488 |