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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
1208000000XPediatrics Physician
2208600000XSurgery Physician
3101YM0800XMental Health Counselor
4261QU0200XUrgent Care Clinic/Center
5208800000XUrology Physician
62084P0800XPsychiatry Physician
7207V00000XObstetrics & Gynecology Physician
8207L00000XAnesthesiology Physician
9207X00000XOrthopaedic Surgery Physician
10207RG0100XGastroenterology Physician
11363LF0000XFamily Nurse Practitioner
12363A00000XPhysician Assistant
13207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000100683OTHERINBUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770521478
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 :
City : ANGOLA
State : IN
Zip : 46703-2015
Country : US
Telephone Number : 260-665-2141
Fax Number : 260-665-2879
Provider Business Practice Location Address
First Line : 306 E MAUMEE ST STE 303
Second Line :
City : ANGOLA
State : IN
Zip : 46703-2044
Country : US
Telephone Number : 260-667-5773
Fax Number : 260-667-5564
Authorized Official
Title or Position : CEO
Name : ANGELA LOGAN
Credential :
Telephone Number : 260-667-5330
Provider Enumeration Date : 06/03/2006
Last Update Date : 09/08/2025

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

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