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Organization
COMMUNITY CARE NETWORK INC
Active
Organization
COMMUNITY CARE NETWORK INC
Active
Other names
Powers Health Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN MADHUR KUMAR (ADMINISTRATOR)
(219) 703-1619
Entity
Organization
Contact information
Practice address
9660 WICKER AVE, ST JOHN, IN 46373-9487
(219) 365-7620
(219) 226-2287
Mailing address
9660 WICKER AVE, ST JOHN, IN 46373-9487
(219) 365-7620
(219) 226-2287
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
—
NULL
176B00000X
Midwife
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207T00000X
Neurological Surgery Physician
—
NULL
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
NULL
208800000X
Urology Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
NULL
364S00000X
Clinical Nurse Specialist
—
—
Other
Enumeration date
05/11/2012
Last updated
05/31/2024
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