| Community Medical Center Of Shipshewana | |
|
660 S Van Buren St Shipshewana IN 46565-9098 | |
| (260) 768-4182 | |
| (260) 768-4357 |
| Full Name | Community Medical Center Of Shipshewana |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 660 S Van Buren St, Shipshewana, Indiana |
| Authorized Official Name and Position | Christine Margart Hamilton (PRESIDENT) |
| Authorized Official Contact | 2607684182 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Center Of Shipshewana Po Box 187 Shipshewana IN 46565-0187 Ph: (260) 768-4182 | Community Medical Center Of Shipshewana 660 S Van Buren St Shipshewana IN 46565-9098 Ph: (260) 768-4182 |
| NPI Number | 1538225867 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538225867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 50003152A (Indiana) | Primary |
Premise Health Of Indiana Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 E Middlebury St, Shipshewana, IN 46565 Phone: 260-768-7411 |