Connection Medical Clinic

LBN: Calvary Assembly Of God
Connection Medical Clinic is an health care organization with primary practice located at 1317 15Th St. Se , Demotte IN 46310-9393. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Calvary Assembly Of God can be contacted via phone (219) 987-4280, or through Clark, James via phone (219) 987-4280.

Contact Information

Primary practice address
1317 15Th St. Se Demotte IN 46310-9393
Phone: (219) 987-4280
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clark, James
Phone: (219) 987-4280

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1306453626
LBN Legal business name Calvary Assembly Of God
DBA Doing business as Connection Medical Clinic
Authorized official Clark, James
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2020
Last updated Feb 26th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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