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5296 Highway 221 Stoney Fork KY 40988-8930 | |
(606) 337-8108 | |
(606) 526-8606 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 5296 Highway 221, Stoney Fork, Kentucky |
Authorized Official Name and Position | Michael W. Stanley (C.E.O.) |
Authorized Official Contact | 6065269005 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1019 Cumberland Falls Hwy Suite B201 Corbin KY 40701-2735 Ph: (606) 526-9005 | 5296 Highway 221 Stoney Fork KY 40988-8930 Ph: (606) 337-8108 |
NPI Number | 1528597440 |
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Provider Enumeration Date | 06/05/2017 |
Last Update Date | 06/28/2024 |
Certification Date | 06/28/2024 |
Identifier | Type | State | Issuer |
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1528597440 | NPI | - | NPPES |