| Organization Name: | CAMERON MEMORIAL COMMUNITY HOSPITAL, INC. |
| NPI Number: | 1386604429 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DOUGLAS BOMBA (CFO) |
| Mailing Address: | 416 E Maumee St Angola |
| State: | IN US |
| Postal Code: | 467032015 |
| Phone Number: | 2606652141 |
| Fax Number: | 2606658608 |
| NPI Enumeration Date: | 03/24/2006 |
| NPI Last Update Date: | 06/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 05-010002-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |