| Community Care, Inc | |
|
1611 330th Ave Charlotte IA 52731-9682 | |
| (563) 659-4100 | |
| (563) 677-2312 |
| Full Name | Community Care, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1611 330th Ave, Charlotte, Iowa |
| Authorized Official Name and Position | Benjamin Wright (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5636594100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Care, Inc 108 Industrial St De Witt IA 52742-2063 Ph: (563) 659-4100 | Community Care, Inc 1611 330th Ave Charlotte IA 52731-9682 Ph: (563) 659-4100 |
| NPI Number | 1942416102 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942416102 | NPI | - | NPPES |
| NEW | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 230904 (Iowa) | Primary |