| Communicare Inc | |
|
320 Ring Rd Elizabethtown KY 42701-6777 | |
| (270) 769-3377 | |
| (270) 234-8572 |
| Full Name | Communicare Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 320 Ring Rd, Elizabethtown, Kentucky |
| Authorized Official Name and Position | Lisa Wise (CEO) |
| Authorized Official Contact | 2707652605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Communicare Inc 107 Cranes Roost Ct Elizabethtown KY 42701-3650 Ph: (270) 765-2605 | Communicare Inc 320 Ring Rd Elizabethtown KY 42701-6777 Ph: (270) 769-3377 |
| NPI Number | 1891832234 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 07/25/2022 |
| Certification Date | 07/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891832234 | NPI | - | NPPES |
| 000000057131 | Other | KY | ANTHEM PROVIDER NUMBER |
| 2448575000 | Other | KY | PASSPORT ADVANTAGE |
| 3390017600 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 800005 (Kentucky) | Primary |
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