Provider Demographics
NPI:1922671809
Name:CAMERON MEMORIAL COMMUNITY HOSPITAL, INC
Entity Type:Organization
Organization Name:CAMERON MEMORIAL COMMUNITY HOSPITAL, INC
Other - Org Name:CAMERON FAMILY MEDICINE-NORTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP/COO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALDRED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-667-5330
Mailing Address - Street 1:416 E MAUMEE ST
Mailing Address - Street 2:
Mailing Address - City:ANGOLA
Mailing Address - State:IN
Mailing Address - Zip Code:46703-2015
Mailing Address - Country:US
Mailing Address - Phone:260-667-5131
Mailing Address - Fax:260-665-7803
Practice Address - Street 1:3250 INTERTECH DR STE A
Practice Address - Street 2:
Practice Address - City:ANGOLA
Practice Address - State:IN
Practice Address - Zip Code:46703-7224
Practice Address - Country:US
Practice Address - Phone:260-665-2646
Practice Address - Fax:260-665-8707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-20
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health