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420 Hopkinsville St Greenville KY 42345-1102 | |
| (270) 377-2405 | |
| (270) 377-2406 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 420 Hopkinsville St, Greenville, Kentucky |
| Authorized Official Name and Position | Russell S Ranallo (SECRETARY) |
| Authorized Official Contact | 2704174813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 23229 Owensboro KY 42304-3229 Ph: (270) 688-1330 | 420 Hopkinsville St Greenville KY 42345-1102 Ph: (270) 377-2405 |
| NPI Number | 1891158119 |
|---|---|
| Provider Enumeration Date | 04/04/2016 |
| Last Update Date | 12/28/2022 |
| Certification Date | 12/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891158119 | NPI | - | NPPES |
Muhlenberg County Opportunity Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 615 Opportunity Way, Greenville, KY 42345 Phone: 270-338-5970 Fax: 270-338-5977 | |
Community Health Centers Of Western Kentucky Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 226 Hopkinsville St, Greenville, KY 42345 Phone: 270-377-3077 Fax: 270-377-3002 | |