Community Care I, Inc.

NPI #1619901915 in Old Fort, Ohio

Provider Information

NPI Number: 1619901915
Entity Type: Organization
Organization Name: Community Care I, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Jul 10, 2006
Last Updated: Oct 20, 2010

Practice Location

Address: 8153 MAIN STREET
City: Old Fort
State: Ohio
ZIP Code: 44861
Phone: (419) 992-4231

Authorized Official

Name: MRS. DENISE WOOLLEY, CPMSM, CPCS
Title: DIRECTOR, MEDICAL STAFF SERVICES
Phone: (419) 334-6624

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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