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Calvary Assembly of God

Primary Care Clinic/Center in Demotte, IN · enumerated 2020 · authorized official James Clark, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306453626

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Registry record

Entity type Organization (Type 2)
Legal business name Calvary Assembly of God
Other name <Unavail>
Practice address 1317 15th St. Se, Demotte, IN, 46310
Phone (219) 987-4280
Enumeration date Sep 30, 2020
Last updated in NPPES Feb 26, 2021

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name James Clark
Title President
Phone (219) 987-4280

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Calvary Assembly of God located?
The practice location on file with NPPES is in Demotte, IN.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-02-26. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-02-26.