Salem Medical Clinic | |
131 Hospital Dr Salem KY 42078-8043 | |
(270) 575-9990 | |
(270) 575-9950 |
Full Name | Salem Medical Clinic |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 131 Hospital Dr, Salem, Kentucky |
Authorized Official Name and Position | William Hogancamp (ATTENDING PHYSICIAN) |
Authorized Official Contact | 2705759990 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Salem Medical Clinic 3121 Parisa Dr Paducah KY 42003-4584 Ph: (270) 575-9990 | Salem Medical Clinic 131 Hospital Dr Salem KY 42078-8043 Ph: (270) 575-9990 |
NPI Number | 1740476647 |
---|---|
Provider Enumeration Date | 09/25/2007 |
Last Update Date | 10/24/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740476647 | NPI | - | NPPES |
64325616 | Medicaid | KY | |
9060 | Other | KY | MEDICARE GROUP # |
05156 | Other | KY | RR MEDICARE GROUP # |
65940652 | Other | KY | MEDICAID GROUP # |
P00110715 | Other | KY | RR MEDICARE # |
000000323921 | Other | KY | ANTHEM BC/BS |
0906001 | Other | KY | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 32561 (Kentucky) | Primary |