Community Care, Inc | |
1611 330th Ave Charlotte IA 52731-9682 | |
(563) 659-4100 | |
(563) 677-2312 |
Full Name | Community Care, Inc |
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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 |
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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 |
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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 |