OrganizationActive
Calvary Assembly of God
NPI 1306453626 · Primary Care Clinic/Center · Demotte, IN
Calvary Assembly of God is a Primary Care Clinic/Center organization in Demotte, IN (NPI 1306453626).
Provider details
- NPI number
- 1306453626
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Clark, President(219) 987-4280
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1317 15th St. Se
Demotte, IN 46310-9393
Phone: (219) 987-4280
Street-level locationGet directions
Mailing address
1317 15th St Se
Demotte, IN 46310
Other names (DBA / former)
- Doing business as
- Connection Medical Clinic
- Doing business as
- Connection Medical Clinic
Registry dates
- Enumerated
- 2020-09-30
- Last updated
- 2021-02-26
- Certified
- 2021-02-26
Frequently asked questions
- What is Calvary Assembly of God's NPI number?
- Calvary Assembly of God's National Provider Identifier (NPI) is 1306453626, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Calvary Assembly of God?
- Calvary Assembly of God is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Calvary Assembly of God located?
- Calvary Assembly of God's practice location on file with NPPES is 1317 15th St. Se, Demotte, IN 46310-9393.
- What is Calvary Assembly of God's phone number?
- The practice phone number listed in the NPPES registry for Calvary Assembly of God is (219) 987-4280.
- Who is the authorized official for Calvary Assembly of God?
- The authorized official listed on Calvary Assembly of God's NPPES record is James Clark, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Calvary Assembly of God's NPI active?
- Yes — Calvary Assembly of God's NPI (1306453626) is active in the NPPES registry as of the last update on 2021-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.