Hope Primary & Urgent Care Of Williamsburg Pllc | |
896 S Highway 25w Williamsburg KY 40769 | |
(606) 515-6124 | |
(606) 515-6163 |
Full Name | Hope Primary & Urgent Care Of Williamsburg Pllc |
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Speciality | Clinic/Center |
Location | 896 S Highway 25w, Williamsburg, Kentucky |
Authorized Official Name and Position | James Carroll Corder (OWNER) |
Authorized Official Contact | 6065156124 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hope Primary & Urgent Care Of Williamsburg Pllc Po Box 68 Stearns KY 42647-0068 Ph: () - | Hope Primary & Urgent Care Of Williamsburg Pllc 896 S Highway 25w Williamsburg KY 40769 Ph: (606) 515-6124 |
NPI Number | 1851058028 |
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Provider Enumeration Date | 11/23/2021 |
Last Update Date | 09/30/2024 |
Certification Date | 09/30/2024 |
Medicare PECOS PAC ID | 9739574468 |
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Medicare Enrollment ID | O20220316002497 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851058028 | NPI | - | NPPES |
Provider Name | James Carroll Corder |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700227147 PECOS PAC ID: 1658513643 Enrollment ID: I20130802000860 |
Provider Name | Rebecca Banfield |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124552369 PECOS PAC ID: 8224302963 Enrollment ID: I20170920000166 |
Provider Name | Donna Marie Bragg |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952879322 PECOS PAC ID: 9133464019 Enrollment ID: I20181220002862 |
Provider Name | Jennifer Rachel Wilson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982179404 PECOS PAC ID: 8123365814 Enrollment ID: I20190204002525 |
Provider Name | Rhonda Michelle Bryant |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659891869 PECOS PAC ID: 2567735350 Enrollment ID: I20200514002374 |
Provider Name | Diondra Warren |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942836796 PECOS PAC ID: 1355767435 Enrollment ID: I20200819003837 |
Provider Name | Lola Meadors |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083261937 PECOS PAC ID: 6204246234 Enrollment ID: I20201103002113 |
Provider Name | Diana Linda Phelps |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285220723 PECOS PAC ID: 2163835604 Enrollment ID: I20201230002085 |
Provider Name | Brittany Jordan Pierce |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184395659 PECOS PAC ID: 5991193187 Enrollment ID: I20211020001292 |
Provider Name | Haley Cross |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457992935 PECOS PAC ID: 1456781566 Enrollment ID: I20220121000662 |
Provider Name | Allen Darrell Probus |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043974710 PECOS PAC ID: 7618369620 Enrollment ID: I20220125002953 |
Provider Name | Stephanie Lovitt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922751411 PECOS PAC ID: 8325432842 Enrollment ID: I20220228000625 |
Provider Name | Stephanie Worley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144971748 PECOS PAC ID: 1355736778 Enrollment ID: I20220322002993 |
Provider Name | Heather Wilson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437882446 PECOS PAC ID: 3072996990 Enrollment ID: I20220810001094 |
Provider Name | Taylor R Perkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962095273 PECOS PAC ID: 0042627168 Enrollment ID: I20221121001922 |
Provider Name | Beverly Sue Shook |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447965546 PECOS PAC ID: 7012389182 Enrollment ID: I20230218000444 |
Provider Name | Melissa Ann Lawson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992589824 PECOS PAC ID: 4789033440 Enrollment ID: I20231207000992 |
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