COMMUNITY HEALTHCARE CONSULTANTS LLC NPI 1821459694

NPI Information

NPI: 1821459694
Provider Name: COMMUNITY HEALTHCARE CONSULTANTS LLC

Doing Business As: COMMUNITY MEDICAL CENTER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 15D2119413

Address:
2916 PEACH BLOSSOM DR STE 101
JEFFERSONVILLE, IN
ZIP 47130
Phone: (812) 590-1600
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COMMUNITY HEALTHCARE CONSULTANTS LLC is a primary care clinic center in Jeffersonville, IN. COMMUNITY HEALTHCARE CONSULTANTS LLC NPI is 1821459694. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Community Medical Center.

The provider's business location address is:

2916 PEACH BLOSSOM DR STE 101
JEFFERSONVILLE, IN
ZIP 47130-380
Phone: (812) 590-1600
Fax: (812) 590-6561

The provider's authorized official is Hammad H. Bokhari .
The authorized official title is Member and has the following contact phone number (812) 590-1600.

The CLIA number assigned to this NPI record is 15D2119413 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2016 and was last updated on 10/1/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		01057661A	INDIANA	No
2	207Q00000X	Family Medicine				No
3	363L00000X	Nurse Practitioner				No
4	261QP2300X	Clinic/Center	Primary Care	01057661A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	15D2119413	OTHER	INDIANA	CLIA
2	201353880 A	MEDICAID	INDIANA
3	7100453720	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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