# COMMUNITY HEALTH CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457692972
- **Authorized official:** ZINEB A AMMOUS MD (PHYSICIAN)
- **Authorized official phone:** (317) 871-0011

## Contact information

- **Practice address:** 730 E. NORTH STREET, SHIPSHEWANA, IN 46565
- **Practice address phone:** (260) 593-0108
- **Practice address fax:** (260) 593-0116
- **Mailing address:** PO BOX 329, SHIPSHEWANA, IN 46565-0329
- **Mailing address phone:** (260) 593-0108
- **Mailing address fax:** (260) 593-0116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207SG0201X | Clinical Genetics (M.D.) Physician | — | NULL | Yes |
| 207SG0201X | Clinical Genetics (M.D.) Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 03/07/2013
- **Last updated:** 10/20/2023