Organization
COMMONWEALTH COMMUNITY CARE CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YVETTE WISENER CPC (BILLING)
(256) 258-9603
Entity
Organization
Contact information
Practice address
154 N LAKE DR, PRESTONSBURG, KY 41653-1270
(606) 506-5093
(606) 506-5039
Mailing address
156 NORTH LAKE DRIVE, PRESTONBURG, KY 41653
(606) 506-5093
(606) 506-5039
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/06/2020
Last updated
09/02/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us