Organization
COMMUNITY HEALTH CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZINEB A AMMOUS MD (PHYSICIAN)
(317) 871-0011
Entity
Organization
Contact information
Practice address
730 E. NORTH STREET, SHIPSHEWANA, IN 46565
(260) 593-0108
(260) 593-0116
Mailing address
PO BOX 329, SHIPSHEWANA, IN 46565-0329
(260) 593-0108
(260) 593-0116
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
03/07/2013
Last updated
10/20/2023
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