Organization
CHRISTIAN CARE COMMUNITIES, INC.
Active
Other names
Christian Health Center Hopkinsville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DADDS (VICE PRESIDENT CFO)
(502) 254-4208
Entity
Organization
Contact information
Practice address
200 STERLING DR, HOPKINSVILLE, KY 42240-1567
(502) 254-4200
Mailing address
12710 TOWNEPARK WAY, SUITE1000, LOUISVILLE, KY 40243-1596
(502) 254-4200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100486
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054505
ANTHEM BLUE CROSS
KY
05
—
12500229
—
KY
Enumeration date
01/30/2007
Last updated
05/13/2014
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