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COMMUNITY HEALTH CLINIC INC
NPI 1457692972
Medical Genetics - Clinical Genetics (M.D.) in Shipshewana, IN

Active since March 07, 2013CLIA 15D2228234 · Waiver
730 E. NORTH STREET, SHIPSHEWANA, IN 46565(260) 593-0108(260) 593-0116 Get Directions Write a Review

NPPES record last updated: October 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Community Health Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY HEALTH CLINIC INC (NPI 1457692972) is a healthcare organization registered as a clinical genetics (m.d.) in Shipshewana, Indiana and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through June 22, 2027 and lists Zineb A Ammous, Physician, as its authorized official.

NPPES Registry Identity

NPI1457692972
Entity TypeOrganization
Primary Taxonomy207SG0201X
Legal Business NameCOMMUNITY HEALTH CLINIC INC
Location Address730 E. NORTH STREETShipshewana, IN 46565
Mailing AddressPo Box 329Shipshewana, IN 46565-0329 · (260) 593-0108 · Fax (260) 593-0116
Phone(260) 593-0108
Fax(260) 593-0116
Organization SubpartNo
Authorized OfficialZineb A AmmousPhysician · (317) 871-0011
Enumeration DateMarch 7, 2013
Last NPPES UpdateOctober 20, 2023
NPPES CertifiedOctober 19, 2023
✔ NPI 1457692972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians
Taxonomy Code207SG0201X
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Also ListedPediatricsTaxonomy 208000000X
730 E. NORTH STREET, Shipshewana, IN 46565
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2228234

Community Health Clinic, The · Shipshewana, IN
Active · expires Jun 22, 2027
CLIA Number15D2228234
Laboratory TypeRural Health Clinic
Certificate Effective DateJune 23, 2025
Certificate Expiration DateJune 22, 2027
Laboratory DirectorZineb A. Ammous
Laboratory Phone(260) 593-0108
Laboratory LocationCommunity Health Clinic, The730 E North Street, Shipshewana, IN 46565
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. RHONDA LEIGH ANDERSON RN
Nurse Practitioner (Family)
730 E. NORTH STREET
SHIPSHEWANA, IN 46565
Lagrange County (260) 593-0108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Health Clinic Inc's NPI number?

The NPI number for Community Health Clinic Inc is 1457692972. It was assigned to this organization in the NPPES registry on March 7, 2013.

Where is Community Health Clinic Inc located?

Community Health Clinic Inc is located at 730 E. North Street, Shipshewana, IN 46565. The listed phone number is (260) 593-0108.

What is Community Health Clinic Inc's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Does Community Health Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2228234) is associated with this NPI, valid through June 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Community Health Clinic Inc was last updated on October 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.