COMMUNITY CARE NETWORK INC NPI 1053747584

NPI Information

NPI: 1053747584
Provider Name: COMMUNITY CARE NETWORK, INC
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
3800 SAINT MARY RD
SUITE 204
VALPARAISO, IN
ZIP 46383
Phone: (219) 286-3765
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COMMUNITY CARE NETWORK, INC is a foot surgery podiatrist in Valparaiso, IN. COMMUNITY CARE NETWORK, INC NPI is 1053747584. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3800 SAINT MARY RD
SUITE 204
VALPARAISO, IN
ZIP 46383-986
Phone: (219) 286-3765
Fax: (219) 286-3766

The provider's authorized official is Luis Molina .
The authorized official title is Administrator and has the following contact phone number (219) 852-6432.

The enumeration date for this NPI number is 9/16/2013 and was last updated on 9/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0131X	Podiatrist	Foot Surgery			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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