Ultimate Treatment Center | |
3655 Winchester Ave Ashland KY 41101-2065 | |
(606) 393-4632 | |
(888) 411-4131 |
Full Name | Ultimate Treatment Center |
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Speciality | Clinic/Center |
Location | 3655 Winchester Ave, Ashland, Kentucky |
Authorized Official Name and Position | Rose Uradu (PROGRAM DIRECTOR) |
Authorized Official Contact | 6063934632 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ultimate Treatment Center 3655 Winchester Ave Ashland KY 41101-2065 Ph: (606) 393-4632 | Ultimate Treatment Center 3655 Winchester Ave Ashland KY 41101-2065 Ph: (606) 393-4632 |
NPI Number | 1194954875 |
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Provider Enumeration Date | 07/02/2009 |
Last Update Date | 08/12/2021 |
Certification Date | 08/12/2021 |
Medicare PECOS PAC ID | 2163578022 |
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Medicare Enrollment ID | O20191203001969 |
Identifier | Type | State | Issuer |
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1194954875 | NPI | - | NPPES |
7100090030 | Medicaid | KY | |
1832977 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
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