COMMUNITY HEALTH CLINIC INC. NPI 1255895850

NPI Information

COMMUNITY HEALTH CLINIC, INC. is a general practice in Elizabethtown, KY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee COMMUNITY HEALTH CLINIC, INC. NPI is 1255895850. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Health Clinic Of Hardin And Larue Counties.

The provider's business location address is:

1113 WOODLAND DR
ELIZABETHTOWN, KY
ZIP 42701-749
Phone: (270) 763-9589
Fax: (270) 763-9689

The provider's authorized official is Jessica Dailey .
The authorized official title is Executive Assistant and has the following contact phone number (270) 763-9589.

The CLIA number assigned to this NPI record is 18D1000644 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/28/2019 and was last updated on 5/31/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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