Community Care Network
LBN: Munster Medical Research Foundation Inc
Community Care Network is an health care organization with primary practice located at 9660 Wicker Ave , St John IN 46373-9487. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Munster Medical Research Foundation Inc can be contacted via phone (219) 365-1166, or through Fesko, Donald P via phone (219) 836-1600.
Contact Information
Primary practice address
9660 Wicker Ave
St John IN 46373-9487
Phone: (219) 365-1166
Fax: (219) 365-8852
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Indiana | |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Indiana | |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | Indiana |
Profile Details
| NPI number | 1922008689 |
|---|---|
| LBN Legal business name | Munster Medical Research Foundation Inc |
| DBA Doing business as | Community Care Network |
| Authorized official | Fesko, Donald P |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Jul 21st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922008689 | NPPES |
| Indiana | MEDICAID | 200289040 | |
| Indiana | Other | 90000970 | |
| Indiana | Other | CH9533 |
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