Organization · Type 2 NPI
Calvary Assembly of God
Primary Care Clinic/Center · Demotte, IN
NPI number
1306453626
Active
Practice location
1317 15th St. SE
Demotte, IN 46310-9393
Mailing address
1317 15th St SE
Demotte, IN 46310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
About NPI 1306453626
Calvary Assembly of God's National Provider Identifier is 1306453626, issued on Sep 30, 2020. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Demotte, IN. The record was last updated on Feb 26, 2021.