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Organization

COMMUNITY HOPSITAL OF LAGRANGE COUNTY,INC

Active
Parent organization
COMMUNITY HOPSITAL OF LAGRANGE COUNTY,INC
Other names
Shipshewana Family Healthcare
Organization subpart
Yes

Provider details

NPI number
Legal business name
COMMUNITY HOPSITAL OF LAGRANGE COUNTY,INC
Authorized official
MR. MARK NAFZIGER (EXECUTIVE VP--CFO)
(260) 373-7008
Entity
Organization

Contact information

Practice address
8175 WEST US 20, SHIPSHEWANA, IN 46565-9169
(260) 768-7432
(260) 768-7482
Mailing address
1900 CAREW STREET, SUITE 1, FORT WAYNE, IN 46805-4765
(260) 373-9700
(260) 373-9740

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01061887A
IN

Other

Enumeration date
03/17/2009
Last updated
03/17/2009
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