| Fm Healing Center, Llc | |
|
1042 Center Dr Suite 100 Richmond KY 40475-3838 | |
| (859) 575-1518 | |
| (502) 808-6077 |
| Full Name | Fm Healing Center, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1042 Center Dr, Richmond, Kentucky |
| Authorized Official Name and Position | Hammad H Bokhari (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5617792123 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fm Healing Center, Llc 1042 Center Dr Ste 100 Richmond KY 40475-3838 Ph: (859) 575-1518 | Fm Healing Center, Llc 1042 Center Dr Suite 100 Richmond KY 40475-3838 Ph: (859) 575-1518 |
| NPI Number | 1992180343 |
|---|---|
| Provider Enumeration Date | 07/28/2015 |
| Last Update Date | 04/03/2016 |
| Medicare PECOS PAC ID | 3678871324 |
|---|---|
| Medicare Enrollment ID | O20160412002674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992180343 | NPI | - | NPPES |
| 7100378250 | Medicaid | KY |
| Provider Name | Diana Spring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003212515 PECOS PAC ID: 7618270216 Enrollment ID: I20160126002323 |
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