NPI 1457692972

Community Health Clinic INC

Organisation Clinical Genetics (M.D.) Physician Shipshewana, IN

Practice location

Address: 730 E. North Street, Shipshewana, IN 46565
Phone: (260) 593-0108
Fax: (260) 593-0116
Mailing address: PO Box 329, Shipshewana, IN 46565-0329

Authorised official

Name: Zineb a Ammous
Title: Physician
Phone: (317) 871-0011

Registered specialties (2)

Clinical Genetics (M.D.) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207SG0201X

Other Medical Genetics providers in Indiana →

Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Indiana →

Registry record

NPI: 1457692972
Entity type: Organization
NPI issued: 7 Mar 2013
Record last updated: 20 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.