Healthcare Provider Details

I. General information

NPI: 1922671809
Provider Name (Legal Business Name): CAMERON MEMORIAL COMMUNITY HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2021
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3250 INTERTECH DR STE A
ANGOLA IN
46703-7224
US

IV. Provider business mailing address

416 E MAUMEE ST
ANGOLA IN
46703-2015
US

V. Phone/Fax

Practice location:
  • Phone: 260-665-2646
  • Fax: 260-665-8707
Mailing address:
  • Phone: 260-667-5131
  • Fax: 260-665-7803

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: 260-667-5330