Organization
WELL CARE COMMUNITY HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KELLER MD (MEDICAL DIRECTOR)
(765) 973-9294
Entity
Organization
Contact information
Practice address
2200 W MAIN ST, RICHMOND, IN 47374-3882
(765) 973-9294
(765) 973-9233
Mailing address
2200 W MAIN ST, RICHMOND, IN 47374-3882
(765) 973-9294
(765) 973-9233
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
05/04/2026
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