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
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
208800000X
Urology Physician
—
—
208D00000X
General Practice Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Enumeration date
05/11/2012
Last updated
05/31/2024
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