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Calvary Assembly of God — NPI 1306453626, Demotte, IN | NPI Central

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NPI 1306453626

OrganizationActive

Calvary Assembly of God

NPI 1306453626 · Primary Care Clinic/Center · Demotte, IN

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

Primary Care Clinic/CenterPrimary261QP2300X
Ambulatory Health Care Facilities

Practice location

1317 15th St. Se

Demotte, IN 46310-9393

Phone: (219) 987-4280

Approximate (ZIP-level) locationGet directions

More IN providers

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

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.