CALVARY ASSEMBLY OF GOD is a primary care clinic center in Demotte, IN. CALVARY ASSEMBLY OF GOD NPI is 1306453626. The provider is registered as an organization entity type.
The provider Is Doing Business As Connection Medical Clinic.
The provider's business location address is:
1317 15TH ST. SE
DEMOTTE, IN
ZIP 46310-393
Phone: (219) 987-4280
The provider's authorized official is James Clark .
The authorized official title is President and has the following contact phone number (219) 987-4280.
The CLIA number assigned to this NPI record is 15D2223405 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/30/2020 and was last updated on 2/26/2021.