| Corbin Intermediate School Based Health Clinic | |
|
404 W. 17th Street Corbin KY 40701-1922 | |
| (606) 528-1651 | |
| (606) 526-8606 |
| Full Name | Corbin Intermediate School Based Health Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 404 W. 17th Street, Corbin, Kentucky |
| Authorized Official Name and Position | Michael W. Stanley (C.E.O.) |
| Authorized Official Contact | 6065269005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corbin Intermediate School Based Health Clinic 1019 Cumberland Falls Hwy Suite B201 Corbin KY 40701-2735 Ph: (606) 526-9005 | Corbin Intermediate School Based Health Clinic 404 W. 17th Street Corbin KY 40701-1922 Ph: (606) 528-1651 |
| NPI Number | 1912427675 |
|---|---|
| Provider Enumeration Date | 06/23/2017 |
| Last Update Date | 06/28/2024 |
| Certification Date | 06/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912427675 | NPI | - | NPPES |
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