# COMMUNITY CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CCHAP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669654091
- **Authorized official:** CYNTHIA MCMATH (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (707) 462-3041

## Contact information

- **Practice address:** 14644B LAKESHORE DR, CLEARLAKE, CA 95422-9290
- **Practice address phone:** (707) 995-1606
- **Practice address fax:** (707) 995-0309
- **Mailing address:** 14644B LAKESHORE DR, CLEARLAKE, CA 95422-9290
- **Mailing address phone:** (707) 995-1606
- **Mailing address fax:** (707) 995-0309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 11/27/2007
- **Last updated:** 11/27/2007