Clay Community Foundations, Llc

LBN: Clay Community Foundations, Llc
Clay Community Foundations, Llc is an health care organization with primary practice located at 109 Center St , Manchester KY 40962-1253. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Clay Community Foundations, Llc can be contacted via phone (606) 596-0110, or through Meredith, James Q via phone (606) 598-6340.

Contact Information

Primary practice address
109 Center St Manchester KY 40962-1253
Phone: (606) 596-0110
Fax: (606) 596-0111
Website:
Map and Directions
Authorized official contact:
Name: Meredith, James Q
Phone: (606) 598-6340

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1144656638
LBN Legal business name Clay Community Foundations, Llc
DBA Doing business as
Authorized official Meredith, James Q
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2013
Last updated May 13th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144656638 NPPES
Kentucky MEDICAID 7100329490

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