| |
1102 W Shelby St Falmouth KY 41040-1046 | |
(859) 654-6966 | |
(859) 235-3699 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 1102 W Shelby St, Falmouth, Kentucky |
Authorized Official Name and Position | Stephen K Toadvine (CEO) |
Authorized Official Contact | 8592353503 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1210 Ky Highway 36 E Cynthiana KY 41031-7490 Ph: (859) 234-2300 | 1102 W Shelby St Falmouth KY 41040-1046 Ph: (859) 654-6966 |
NPI Number | 1386389898 |
---|---|
Provider Enumeration Date | 04/28/2022 |
Last Update Date | 06/06/2023 |
Certification Date | 06/06/2023 |
Medicare PECOS PAC ID | 8628961018 |
---|---|
Medicare Enrollment ID | O20220805000725 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386389898 | NPI | - | NPPES |