COMMUNITY HEALTH CLINIC, INC.
NPI 1154065324
Dentist - General Practice in Elizabethtown, KY

NPI Status: Active since April 25, 2022

Contact Information

1113 WOODLAND DR
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 763-9589
Fax: (270) 763-9689

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  • Organization
  • Dentist
  • General Practice

About COMMUNITY HEALTH CLINIC, INC.

This page provides the complete NPI Profile along with additional information for Community Health Clinic, Inc., a provider established in Elizabethtown, Kentucky operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1154065324 assigned on April 2022. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Jessica Dailey (Executive Assistant)

NPI
1154065324
Provider Name
COMMUNITY HEALTH CLINIC, INC.
Entity Type
Organization
Location Address
1113 WOODLAND DR ELIZABETHTOWN, KY 42701
Location Phone
(270) 763-9589
Location Fax
(270) 763-9689
Mailing Address
1113 WOODLAND DR ELIZABETHTOWN, KY 42701
Mailing Phone
(270) 763-9589
Mailing Fax
(270) 763-9689
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-25-2022
Last Update Date
05-31-2022
Code Navigator

A dentist like Community Health Clinic, Inc. is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. JESSICA DAILEY

Authorized Official Title
EXECUTIVE ASSISTANT
Authorized Official Phone
(270) 763-9589

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7100744700MEDICAID (05)KY 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154065324
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21104061034
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 0 + 6 + 1 + 0 + 3 + 4 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1154065324 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063404903MR. JEFFREY N BEEN MD
Individual
Orthopaedic Surgery1113 WOODLAND DR
ELIZABETHTOWN, KY 42701
(270) 737-4343
1881686723MR. WILLIAM C NASH MD
Individual
Orthopaedic Surgery1113 WOODLAND DR
ELIZABETHTOWN, KY 42701
(270) 737-4343
1821080441MR. MARCIS A CRAIG MD
Individual
Orthopaedic Surgery1113 WOODLAND DR
ELIZABETHTOWN, KY 42701
(270) 737-4343
1548254766MR. RONNIE MARR PA
Individual
Orthopaedic Surgery1113 WOODLAND DR
ELIZABETHTOWN, KY 42701
(270) 737-4343
1255895850COMMUNITY HEALTH CLINIC, INC.
Organization
General Practice1113 WOODLAND DR
ELIZABETHTOWN, KY 42701
(270) 763-9589

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154065324, enumerated in the NPI registry as an "organization" on April 25, 2022

The provider is located at 1113 Woodland Dr Elizabethtown, Ky 42701 and the phone number is (270) 763-9589

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 25, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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