Organization · Type 2 NPI

Community Care Network Inc

Family Medicine Physician · St. John, IN

NPI number 1457610487 Active

Practice location

9660 Wicker Ave
St. John, IN 46373-9487

Fax (219) 226-2287

Specialties and licenses

TaxonomyCodeLicense
Midwife 176B00000XNone listed
Family Medicine Physician Primary 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Neurological Surgery Physician 207T00000XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Pediatrics Physician 208000000XNone listed
Neurology Physician 2084N0400XNone listed
Surgery Physician 208600000XNone listed
Urology Physician 208800000XNone listed
General Practice Physician 208D00000XNone listed
Interventional Pain Medicine Physician 208VP0014XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner 363L00000XNone listed
Clinical Nurse Specialist 364S00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1457610487

Community Care Network Inc's National Provider Identifier is 1457610487, issued on May 11, 2012. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in St. John, IN. The record was last updated on May 31, 2024.