Communicare Inc | |
331 S 3rd St Bardstown KY 40004-1032 | |
(502) 348-9206 | |
(270) 234-8572 |
Full Name | Communicare Inc |
---|---|
Speciality | Community/behavioral Health |
Location | 331 S 3rd St, Bardstown, Kentucky |
Authorized Official Name and Position | Lisa Wise (CEO) |
Authorized Official Contact | 2707652605 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Communicare Inc 107 Cranes Roost Ct Elizabethtown KY 42701-3650 Ph: (270) 765-2605 | Communicare Inc 331 S 3rd St Bardstown KY 40004-1032 Ph: (502) 348-9206 |
NPI Number | 1679610117 |
---|---|
Provider Enumeration Date | 02/01/2007 |
Last Update Date | 07/25/2022 |
Certification Date | 07/25/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679610117 | NPI | - | NPPES |
2700501600 | Medicaid | KY | |
000000057131 | Other | KY | ANTHEM |
198591000 | Other | KY | MAGELLAN |
2448575000 | Other | KY | PASSPORT ADVANTAGE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 800005 (Kentucky) | Primary |
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