| Beacons Of Hope, Llc | |
|
101 Town And Country Ln Ste 106 Hazard KY 41701-9524 | |
| (606) 435-7557 | |
| (606) 435-7516 |
| Full Name | Beacons Of Hope, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Town And Country Ln Ste 106, Hazard, Kentucky |
| Authorized Official Name and Position | Barry K Martin (CEO/OWNER) |
| Authorized Official Contact | 6064383181 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacons Of Hope, Llc Po Box 2011 Hazard KY 41702-2011 Ph: (606) 435-7557 | Beacons Of Hope, Llc 101 Town And Country Ln Ste 106 Hazard KY 41701-9524 Ph: (606) 435-7557 |
| NPI Number | 1568119394 |
|---|---|
| Provider Enumeration Date | 03/02/2022 |
| Last Update Date | 05/17/2024 |
| Certification Date | 05/17/2024 |
| Medicare PECOS PAC ID | 6709255821 |
|---|---|
| Medicare Enrollment ID | O20230123000381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568119394 | NPI | - | NPPES |
| Provider Name | John I Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396974234 PECOS PAC ID: 7315102878 Enrollment ID: I20120706000541 |
| Provider Name | Suzanna Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124594346 PECOS PAC ID: 8224416029 Enrollment ID: I20220607002614 |
| Provider Name | Beatrice Madden |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942608286 PECOS PAC ID: 1052796810 Enrollment ID: I20240130002481 |
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