Healthcare Provider Details

I. General information

NPI: 1326531179
Provider Name (Legal Business Name): CAMERON MEMORIAL COMMUNITY HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2018
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1381 N WAYNE ST
ANGOLA IN
46703-2348
US

IV. Provider business mailing address

416 E MAUMEE ST
ANGOLA IN
46703-2015
US

V. Phone/Fax

Practice location:
  • Phone: 260-665-8222
  • Fax: 260-665-8970
Mailing address:
  • Phone: 260-667-5133
  • Fax: 260-665-7893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANGELA LOGAN
Title or Position: CEO
Credential:
Phone: 260-667-5133