| Irvco, Llc | |
|
263 Boiling Springs Dr Lexington KY 40511-2103 | |
| (859) 252-3679 | |
| (859) 252-3679 |
| Full Name | Irvco, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 263 Boiling Springs Dr, Lexington, Kentucky |
| Authorized Official Name and Position | Irvin W. Smith (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8592523679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irvco, Llc 263 Boiling Springs Dr Lexington KY 40511-2103 Ph: (859) 252-3679 | Irvco, Llc 263 Boiling Springs Dr Lexington KY 40511-2103 Ph: (859) 252-3679 |
| NPI Number | 1568527299 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568527299 | NPI | - | NPPES |
| 33000530 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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