Christian Clinic Pc

LBN: Christian Clinic Pc
Christian Clinic Pc is an health care organization with primary practice located at 716 S College Ave , Rensselaer IN 47978-3083. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Christian Clinic Pc can be contacted via phone (219) 866-0485, or through Wakefield, James G via phone (219) 866-0485.

Contact Information

Primary practice address
716 S College Ave Rensselaer IN 47978-3083
Phone: (219) 866-0485
Fax: (219) 866-0837
Website:
Map and Directions
Authorized official contact:
Name: Wakefield, James G Doctor of Medicine (MD)
Phone: (219) 866-0485

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01060733A Indiana

Profile Details

NPI number 1558763987
LBN Legal business name Christian Clinic Pc
DBA Doing business as
Authorized official Wakefield, James G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2014
Last updated Sep 14th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558763987 NPPES
Indiana MEDICAID 20052387OA

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