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NPI Code Detail

MEDICARE: CAMERON MEMORIAL COMMUNITY HOSPITAL, INC.

MEDICARE: CAMERON MEMORIAL COMMUNITY HOSPITAL, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282NC0060XCritical Access Hospital60002416AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11517981OTHERINNABP IDENTIFICATION
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
360002416AOTHERININDIANA PHARMACY LICENSE

General Provider Information

NPI Number : 1396895710
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAMERON MEMORIAL COMMUNITY HOSPITAL, INC.
Provider Business Mailing Address
First Line : 416 E MAUMEE ST
Second Line : DEPARTMENT OF PHARMACY
City : ANGOLA
State : IN
Zip : 46703-2015
Country : US
Telephone Number : 260-667-5295
Fax Number : 260-665-7888
Provider Business Practice Location Address
First Line : 416 E MAUMEE ST
Second Line : DEPARTMENT OF PHARMACY
City : ANGOLA
State : IN
Zip : 46703-2015
Country : US
Telephone Number : 260-665-2141
Fax Number : 260-665-7888
Authorized Official
Title or Position : VP/COO
Name : MR. ANDREW M ALDRED
Credential : R.PH.
Telephone Number : 260-665-5330
Provider Enumeration Date : 01/10/2007
Last Update Date : 03/07/2023

Similar Medicare Providers

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Practice Location Address:
416 E MAUMEE ST
ANGOLA, IN
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1427040807 — MR. LON NICHOLAS KEYES R.PH.
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1386683316 — CAMERON MEMORIAL COMMUNITY HOSPITAL, INC.
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1457577488 — CAMERON MEMORIAL COMMUNITY HOSPITAL, INC.
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1962661876 — ANESTHESIA ASSOCIATES OF NORTHERN INDIANA, PC
Practice Location Address:
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Practice Phone: 419-531-8808
Practice Fax: 419-531-8877

Directions to “CAMERON MEMORIAL COMMUNITY HOSPITAL, INC. ” Practice Location

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