Bardstown Total Health Care Corp | |
202 S 4th St Bardstown KY 40004-1008 | |
(606) 524-1881 | |
Not Available |
Full Name | Bardstown Total Health Care Corp |
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Speciality | Clinic/Center |
Location | 202 S 4th St, Bardstown, Kentucky |
Authorized Official Name and Position | Ana Moreno (PRESIDENT) |
Authorized Official Contact | 6065241881 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bardstown Total Health Care Corp 65 N Highway 25 W Williamsburg KY 40769-1540 Ph: () - | Bardstown Total Health Care Corp 202 S 4th St Bardstown KY 40004-1008 Ph: (606) 524-1881 |
NPI Number | 1316586571 |
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Provider Enumeration Date | 01/04/2020 |
Last Update Date | 01/23/2020 |
Certification Date | 01/23/2020 |
Medicare PECOS PAC ID | 0446688832 |
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Medicare Enrollment ID | O20200318001227 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316586571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Mona Cattan-lewis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316954407 PECOS PAC ID: 9436184462 Enrollment ID: I20050928001268 |
Provider Name | Charles E Copeland |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1104916162 PECOS PAC ID: 3476576893 Enrollment ID: I20060111000531 |
Provider Name | Amy T Perry |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457594608 PECOS PAC ID: 3577615897 Enrollment ID: I20090717000342 |
Provider Name | Louisa E Farley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275827495 PECOS PAC ID: 6103094750 Enrollment ID: I20110726000303 |
Provider Name | Jeanne Dople |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689037228 PECOS PAC ID: 7911290291 Enrollment ID: I20181015000433 |
Provider Name | Stephanie Nicholson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346875796 PECOS PAC ID: 3971932179 Enrollment ID: I20200409002597 |
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