Organization
COMMUNITY HEALTH CLINIC, INC.
Active
Other names
Community Health Clinic of Hardin & LaRue Counties, Community Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA DAILEY (EXECUTIVE ASSISTANT)
(270) 763-9589
Entity
Organization
Contact information
Practice address
1113 WOODLAND DR, ELIZABETHTOWN, KY 42701-2749
(270) 763-9589
(270) 763-9689
Mailing address
1113 WOODLAND DR, ELIZABETHTOWN, KY 42701-2749
(270) 763-9589
(270) 763-9689
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100744700
—
KY
Enumeration date
04/25/2022
Last updated
05/31/2022
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