COMMUNITY CARE I, INC. (NPI# 1619901915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619901915 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE I, INC. |
| Practice Address |
8153 Main Street Old Fort OH 44861 |
| Mailing Address |
715 S Taft Ave Fremont OH 43420-3200 |
| Practice Telephone | 4199924231 |
| Practice Fax Number | 4199924722 |
| Mailing Telephone | 4193346624 |
| Mailing Fax Number | 4193346602 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2010-10-20 |
| Authorized Official Name | MRS. DENISE WOOLLEY (DIRECTOR, MEDICAL STAFF SERVICES) |
| Authorized Official Telephone | 4193346624 |
| Authorized Official Credential | CPMSM, CPCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0238951 | 05 |
| Street Address |
8153 MAIN STREET |
| City | OLD FORT |
| State | OH |
| Zip Code | 44861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730148099 | Penny L Mullins | Family Medicine | 8153 Main Street, Old Fort, OH 44861 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619117033 | Old Fort Local School District | Local Education Agency (LEA) | 7635 N. County Road 51, Old Fort, OH 44861 | 2009-02-25 |
| 1215230735 | Lisa A Gregg | Licensed Practical Nurse | 8072 Fort St., Old Fort, OH 44861-0078 | 2010-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463035 | Elizabeth Covert | Registered Nurse | 83 Covert Rd, Old Fort, NC 28762-7872 | 2020-10-07 |
| 1053878603 | Jared Douglas Gouge | Registered Nurse | 249 Laurel Ridge Dr, Old Fort, NC 28762-9712 | 2019-03-01 |
| 1104396431 | Sabrina Kathlene Brackett | Technician, Pathology | 1498 Boanerges Church Rd, Old Fort, TN 37362-7028 | 2018-11-29 |
| 1417359449 | Elizabeth Bowman | Clinic/Center | 138 Higdon Ln, Old Fort, TN 37362-7478 | 2014-09-22 |
| 1760802110 | Eagle Chiropractic Family Wellness Center P A | Chiropractor | 262 Catawba Ave, Old Fort, NC 28762 | 2014-04-24 |
| 1124375480 | Elizabeth Lytle Norton | Pharmacist | 40 W Main St., Old Fort, NC 28762-2876 | 2012-08-06 |
| 1952691586 | John Robert Summerour | Pharmacist | 62 Skyline Dr, Old Fort, NC 28762-9677 | 2011-04-16 |
| 1417254327 | Sense-ability | Occupational Therapist | 691 Davistown Rd, Old Fort, NC 28762-8735 | 2011-02-13 |
| 1942447354 | Jason Thomas Mckeown | Marriage & Family Therapist | 197 Deer Valley Drive, Old Fort, NC 28762 | 2009-01-08 |
| 1174701288 | Jon Charles Tripp | Counselor | 90 Mackey Farm Dr, Old Fort, NC 28762 | 2008-01-31 |
| Find all providers in OLD FORT | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952333890 | Jerrill Lee Mcentire | Family Medicine | 26 South Thomason Street, Old Fort, NC 28762-0789 | 2006-07-07 |
| 1730148099 | Penny L Mullins | Family Medicine | 8153 Main Street, Old Fort, OH 44861 | 2006-03-23 |
| 1851686877 | Bruce Anthony Ulrich | Family Medicine | 32 E Main St, Old Fort, NC 28762-0017 | 2011-06-17 |
| 1699953877 | James M Quayle | Family Medicine | 32 East Main Street, Old Fort, NC 28752 | 2008-02-09 |
| 1134153786 | Mcdowell Community Health Services | Family Medicine | 26 South Thomason Street, Old Fort, NC 28762 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948667 | Grace Laszlo | Family Medicine | 2385 Creek View Pl, Grove City, OH 43123-1518 | 2020-09-29 |
| 1396350138 | Kelly Crego-lee | Family Medicine | 321 Neal Rd, Saint Paris, OH 43072-9305 | 2020-09-09 |
| 1669087524 | Deanna Tiffiene Thompson | Family Medicine | 895 Slagle Pl, Galloway, OH 43119-8821 | 2020-09-08 |
| 1982218145 | Kara Day | Family Medicine | 5867 Dantawood Ln, Liberty Twp, OH 45044-1309 | 2020-09-04 |
| 1669086260 | Family Care Plus Clinic LLC | Family Medicine | 4490 Darrow Rd, Stow, OH 44224-1885 | 2020-09-02 |
| 1619580693 | Erica Jayne Mack | Family Medicine | 542 W Mulberry St, Lancaster, OH 43130-2907 | 2020-08-28 |
| 1588277669 | Sarah Elizabeth Ruth Wilcox | Family Medicine | 3146 Grange Hill Pl, Dublin, OH 43017-1794 | 2020-08-28 |
| 1073126314 | Stawa Rajab Blanco | Family Medicine | 4900 Delhi Rd, Cincinnati, OH 45238-5345 | 2020-08-26 |
| 1154933463 | Amanda Taylor Greenrod | Family Medicine | 11010 Gabriella Dr, Parma, OH 44130-1468 | 2020-08-18 |
| 1457962110 | Mt. Eaton Medical Group | Family Medicine | 15988 E Chestnut St, Mt. Eaton, OH 44659 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.