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Organization

COMMUNITY MEDICAL ASSOCIATES, INC.

Active
Other names
Long Term COVID-19 Care Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SHELLEY GAST (VP MANAGED CARE)
(502) 588-9490
Entity
Organization

Contact information

Practice address
4803 OLYMPIA PARK PLZ STE 1100, LOUISVILLE, KY 40241-3068
(502) 588-9490
(502) 272-5339
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5339

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207RI0200X
Infectious Disease Physician
Primary
208000000X
Pediatrics Physician
2080N0001X
Neonatal-Perinatal Medicine Physician
225XP0200X
Pediatric Occupational Therapist
235Z00000X
Speech-Language Pathologist
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner
363LF0000X
Family Nurse Practitioner
363LN0000X
Neonatal Nurse Practitioner
363LN0005X
Critical Care Neonatal Nurse Practitioner
363LP0200X
Pediatric Nurse Practitioner

Other

Enumeration date
01/29/2018
Last updated
09/21/2021
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