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Organization
CHRISTIAN CARE COMMUNITIES, INC.
Active
Organization
CHRISTIAN CARE COMMUNITIES, INC.
Active
Other names
Christian Health Center Louisville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. W. RICHARD MARSHALL (VICE PRESIDENT CFO)
(502) 254-4200
Entity
Organization
Contact information
Practice address
920 S 4TH ST, LOUISVILLE, KY 40203-3206
(502) 254-4200
Mailing address
12710 TOWNEPARK WAY, SUITE 1000, LOUISVILLE, KY 40243-2534
(502) 254-4200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100200
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054506
ANTHEM BLUE CROSS
KY
05
—
12504528
—
KY
01
—
2435838000
PASSPORT
KY
Enumeration date
01/30/2007
Last updated
05/12/2014
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