COMMUNITY HEALTH CLINIC INC
NPI 1457692972
Medical Genetics - Clinical Genetics (M.D.) in Shipshewana, IN
NPI Status: Active since March 07, 2013
Contact Information
730 E. NORTH STREET
SHIPSHEWANA, IN
ZIP 46565
Phone: (260) 593-0108
Fax: (260) 593-0116
- Organization
- Medical Genetics
- Clinical Genetics (M.D.)
- CLIA Number: 15D2228234
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 06-22-2027
About COMMUNITY HEALTH CLINIC INC
This page provides the complete NPI Profile along with additional information for Community Health Clinic Inc, a provider established in Shipshewana, Indiana operating as a Medical Genetics, focusing in clinical genetics (m.d.) . The healthcare provider is registered in the NPI registry with number 1457692972 assigned on March 2013. The practitioner's primary taxonomy code is 207SG0201X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Community Health Clinic Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Zineb A Ammous Md (Physician)
- NPI
- 1457692972
- Provider Name
- COMMUNITY HEALTH CLINIC INC
- Entity Type
- Organization
- Location Address
- 730 E. NORTH STREET SHIPSHEWANA, IN 46565
- Location Phone
- (260) 593-0108
- Location Fax
- (260) 593-0116
- Mailing Address
- PO BOX 329 SHIPSHEWANA, IN 46565
- Mailing Phone
- (260) 593-0108
- Mailing Fax
- (260) 593-0116
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-07-2013
- Last Update Date
- 10-20-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Medical Genetics Clinical Genetics (M.D.)
- Taxonomy Code
- 207SG0201X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 15D2228234
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- June 23, 2025
- Certificate Expiration Date
- June 22, 2027
- Laboratory Director
- ZINEB A. AMMOUS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Community Health Clinic Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for COMMUNITY HEALTH CLINIC INC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1457692972, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457692972, enumerated as an "organization" on March 07, 2013.
The provider is located at 730 E. NORTH STREET SHIPSHEWANA, IN 46565 and the phone number is (260) 593-0108.
Medical Genetics with taxonomy code 207SG0201X and a focus in Clinical Genetics (M.D.).
