Provider Demographics
NPI:1336930551
Name:COMMUNITY INSURANCE COMPANY
Entity type:Organization
Organization Name:COMMUNITY INSURANCE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH PLAN PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEON
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMOREAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-619-6810
Mailing Address - Street 1:21215 BURBANK BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-7091
Mailing Address - Country:US
Mailing Address - Phone:888-716-5186
Mailing Address - Fax:
Practice Address - Street 1:8940 LYRA DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43240-2293
Practice Address - Country:US
Practice Address - Phone:502-619-6810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization