Community Health Clinic, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

COMMUNITY HEALTH CLINIC, INC.

Practice address

1113 Woodland Dr
Elizabethtown, KY 42701-2749

Phone

(270) 763-9589

Fax

(270) 763-9689

NPI assigned

Apr 25, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jessica Dailey

Title

Executive Assistant

Phone

(270) 763-9589

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Community Health Clinic of Hardin & LaRue Counties Doing business as
• Community Health Clinic Other name

Electronic endpoints 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15287/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William R. Handley, M.D.

  • Internal Medicine Physician
  • Elizabethtown, KY
  • NPI 1588871941
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1154065324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 WOODLAND DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012749",
            "telephone_number": "270-763-9589",
            "fax_number": "270-763-9689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 WOODLAND DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012749",
            "telephone_number": "270-763-9589",
            "fax_number": "270-763-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "DAILEY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "270-763-9589",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100744700",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://chealth.prognocis.com/prognocis/scrUserLogin.jsp?clinic=chealth",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "address_1": "1113 Woodland Dr",
            "city": "Elizabethtown",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427012749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Community Health Clinic of Hardin & LaRue Counties",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Health Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Communicare Inc
• Communicare Inc
• Communicare, Inc
• Communicare, Inc.
• Communicare, Inc.
• Community Health Clinic, Inc.
• Community Medical Associates
• Comprehensive Anesthesia Services LLP
• Natasha H Compton, APSS
• Tracy Compton, RN, CSA

• All providers in Elizabethtown, KY
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.