Community Care Clinic

LBN: Faith Healthcare Inc
Community Care Clinic is an health care organization with primary practice located at 126 Franklin Drive , Monticello KY 42633. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Faith Healthcare Inc can be contacted via phone (606) 685-6131, or through Antle, Logan Roy via phone (606) 425-5768.

Contact Information

Primary practice address
126 Franklin Drive Monticello KY 42633
Phone: (606) 685-6131
Fax: (606) 685-6179
Website:
Map and Directions
Authorized official contact:
Name: Antle, Logan Roy
Phone: (606) 425-5768

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1053964965
LBN Legal business name Faith Healthcare Inc
DBA Doing business as Community Care Clinic
Authorized official Antle, Logan Roy
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 19th, 2019
Last updated Dec 7th, 2023 - about 2 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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