| Community Care Of Kentucky, Inc | |
|
1175 S Main St Ste 4 Madisonville KY 42431-3337 | |
| (270) 383-5511 | |
| (270) 821-9602 |
| Full Name | Community Care Of Kentucky, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1175 S Main St Ste 4, Madisonville, Kentucky |
| Authorized Official Name and Position | Jenell Stump (MANAGER, LICENSING & CREDENTIALING) |
| Authorized Official Contact | 6299995006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Care Of Kentucky, Inc Po Box 2369 Anniston AL 36202-2369 Ph: (256) 741-7340 | Community Care Of Kentucky, Inc 1175 S Main St Ste 4 Madisonville KY 42431-3337 Ph: (270) 383-5511 |
| NPI Number | 1053799080 |
|---|---|
| Provider Enumeration Date | 05/11/2015 |
| Last Update Date | 05/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053799080 | NPI | - | NPPES |
| 7100298140 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Hopkins County Health Department Dental Clinic Medicare: Medicare Enrolled Practice Location: 412 North Kentucky Ave, Madisonville, KY 42431 Phone: 270-821-5242 Fax: 270-825-0138 | |
John A Roy Dmd Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 Pride Ave Ste C, Madisonville, KY 42431 Phone: 270-821-3423 | |
Community Care Of Kentucky, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Clinic Dr, Madisonville, KY 42431 Phone: 270-681-0514 Fax: 270-681-5315 | |
Carol Mccraw Dmd Ms Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 95 Ymca Dr, Madisonville, KY 42431 Phone: 270-825-0300 | |
J Greg Haag Dmd Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 Thornberry Dr, Madisonville, KY 42431 Phone: 270-825-9616 Fax: 270-825-3901 | |
Kimberly K Hill Dmd Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 344 E Arch St, Madisonville, KY 42431 Phone: 270-821-8172 Fax: 270-821-5593 |