Community Care Center

LBN: Munster Medical Research Foundation Inc
Community Care Center is an health care organization with primary practice located at 9660 Wicker Ave , Saint John IN 46373-9487. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as 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 Saint John IN 46373-9487
Phone: (219) 365-1166
Fax: (219) 365-8852
Website:
Map and Directions
Authorized official contact:
Name: Fesko, Donald P
Phone: (219) 836-1600

Health care specialties

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

Profile Details

NPI number 1588989891
LBN Legal business name Munster Medical Research Foundation Inc
DBA Doing business as Community Care Center
Authorized official Fesko, Donald P
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 30th, 2010
Last updated May 14th, 2010 - about 15 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 1588989891 NPPES
Indiana MEDICAID 200289040

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