| Community Medical Association | |
|
4803 Olympia Park Plz Ste 1100 Louisville KY 40241-3068 | |
| (502) 588-9490 | |
| Not Available |
| Full Name | Community Medical Association |
|---|---|
| Speciality | Clinic/center |
| Location | 4803 Olympia Park Plz Ste 1100, Louisville, Kentucky |
| Authorized Official Name and Position | Shelley Gast (EDUCATOR MANAGED CARE) |
| Authorized Official Contact | 5025889490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Medical Association Po Box 776351 Chicago IL 60677-6351 Ph: (502) 588-9490 | Community Medical Association 4803 Olympia Park Plz Ste 1100 Louisville KY 40241-3068 Ph: (502) 588-9490 |
| NPI Number | 1356685002 |
|---|---|
| Provider Enumeration Date | 11/19/2012 |
| Last Update Date | 09/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356685002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Kentucky) | Primary |
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