Organization
COMMUNITY FIRST HEALTH, LLC.
Active
Other names
Community First Express Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUEL TIPTON PA-C (MEMBER)
(859) 322-9984
Entity
Organization
Contact information
Practice address
2091 N BEND RD, UNIT 100, HEBRON, KY 41048
(859) 817-1370
Mailing address
2091 N BEND RD STE 100, HEBRON, KY 41048-9122
(859) 817-1370
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100481790
—
KY
Enumeration date
01/04/2017
Last updated
07/06/2018
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