| Community Health Clinic, Inc. | |
|
1113 Woodland Dr Elizabethtown KY 42701-2749 | |
| (270) 763-9589 | |
| (270) 763-9689 |
| Full Name | Community Health Clinic, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1113 Woodland Dr, Elizabethtown, Kentucky |
| Authorized Official Name and Position | Jessica Dailey (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 2707639589 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Clinic, Inc. 1113 Woodland Dr Elizabethtown KY 42701-2749 Ph: (270) 763-9589 | Community Health Clinic, Inc. 1113 Woodland Dr Elizabethtown KY 42701-2749 Ph: (270) 763-9589 |
| NPI Number | 1154065324 |
|---|---|
| Provider Enumeration Date | 04/25/2022 |
| Last Update Date | 05/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154065324 | NPI | - | NPPES |
| 7100744700 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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