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
Ambulatory Health Care Facilities
Practice location
1317 15th St. Se
Demotte, IN 46310-9393
Phone: (219) 987-4280
Approximate (ZIP-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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.