# COMMUNITY CARE CLINIC LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699946103
- **Authorized official:** WENDY L BECK NP-C (PRACTICIONER/OWNER)
- **Authorized official phone:** (423) 338-7434

## Contact information

- **Practice address:** 4867 HIGHWAY 411, CLEVELAND, TN 37323-5360
- **Practice address phone:** (423) 338-7434
- **Practice address fax:** (423) 338-7436
- **Mailing address:** PO BOX 306, OCOEE, TN 37361-0306
- **Mailing address phone:** (423) 338-7434
- **Mailing address fax:** (423) 338-7436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | F0906005 | TN | Yes |

## Other

- **Enumeration date:** 03/13/2008
- **Last updated:** 03/13/2008