Provider Type Icon

COMMUNITY CARE NETWORK INC NPI 1104252246


NPI Information

NPI: 1104252246
Provider Name: COMMUNITY CARE NETWORK, INC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 15D2008392

Address:
1400 S LAKE PARK AVE
SUITE 105
HOBART, IN
ZIP 46342
Phone: (219) 942-5544
Get Directions

COMMUNITY CARE NETWORK, INC is an urology in Hobart, IN. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. COMMUNITY CARE NETWORK, INC NPI is 1104252246. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1400 S LAKE PARK AVE
SUITE 105
HOBART, IN
ZIP 46342-790
Phone: (219) 942-5544
Fax: (211) 942-5599

The provider's authorized official is Luis Molina .
The authorized official title is Cfo and has the following contact phone number (219) 947-6113.

The CLIA number assigned to this NPI record is 15D2008392 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/20/2013 and was last updated on 9/20/2013.


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
1208800000XUrologyYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.