Community Care Network

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

License

L5127 Issued in AL

Legal business name

COMMUNITY CARE NETWORK

Practice address

1629 Forest Ave
Montgomery, AL 36106-1541

Phone

(334) 269-6251

Fax

(334) 269-6253

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Karina Polen-Davis

Title

Executive Director

Phone

(334) 269-6251

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Leon Nolan Davis Jr., MD

  • Internal Medicine Physician
  • Montgomery, AL
  • NPI 1265493134
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881728392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 FOREST AVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061541",
            "telephone_number": "334-269-6251",
            "fax_number": "334-269-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 FOREST AVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061541",
            "telephone_number": "334-269-6251",
            "fax_number": "334-269-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLEN-DAVIS",
        "authorized_official_first_name": "KARINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "334-269-6251",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "AL",
            "license": "L5127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiarra Comer, MS, ALC
• Comfort Care Hospice, LLC
• Comfort Your Heart Home Care LLC
• Coming in to Care LLC
• Communication Awaits LLC
• Compassion Care Service
• Complete Behavioral Health PLLC
• Complete Vitality LLC
• Curtis Conard, PT
• Concept Pharmaceuticals LLC

• Rural Health Clinic/Center in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Rural Health Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.