Community Hospital Care Network | |
9660 Wicker Avenue Saint John IN 46373-9487 | |
(219) 365-1166 | |
(219) 365-8852 |
Full Name | Community Hospital Care Network |
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Speciality | Family Medicine |
Location | 9660 Wicker Avenue, Saint John, 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 |
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Community Hospital Care Network 9660 Wicker Avenue Saint John IN 46373-9487 Ph: (219) 365-1166 | Community Hospital Care Network 9660 Wicker Avenue Saint John IN 46373-9487 Ph: (219) 365-1166 |
NPI Number | 1124343439 |
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Provider Enumeration Date | 03/30/2010 |
Last Update Date | 05/19/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124343439 | NPI | - | NPPES |
200289040 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Community Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9660 Wicker Ave, Saint John, IN 46373 Phone: 219-365-1166 Fax: 219-365-8852 | |
St John Family Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10860 Maple Ln, Saint John, IN 46373 Phone: 219-365-7000 Fax: 219-365-2609 | |
Northshore Health Centers, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9825 Wicker Ave Side, Saint John, IN 46373 Phone: 219-763-8112 Fax: 219-764-5380 |