Christian County Foot And Ankle Center, Inc | |
1610 S Main St, Suite 9, Hopkinsville, KY 42240-1974 | |
(270) 885-1203 | |
(270) 885-1561 |
Full Name | Christian County Foot And Ankle Center, Inc |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 1610 S Main St, Hopkinsville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295992873 | NPI | - | NPPES |
7100074830 | Medicaid | KY | |
DO8812 | Other | KY | RR MCAR # |
7100095890 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (Kentucky) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | 00294 (Kentucky) | Secondary |
Provider Name | Mark J Edmunds |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1679540702 PECOS PAC ID: 9133112071 Enrollment ID: I20040406000967 |
Mailing Address | Practice Location Address |
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Christian County Foot And Ankle Center, Inc 1610 S Main St, Suite 9, Hopkinsville, KY 42240-1974 Ph: (270) 885-1203 | Christian County Foot And Ankle Center, Inc 1610 S Main St, Suite 9, Hopkinsville, KY 42240-1974 Ph: (270) 885-1203 |
Dr. Mark J. Edmunds, Dpm, P.l.l.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1610 S Main St, Suite 9, Hopkinsville, KY 42240 Phone: 270-885-1203 Fax: 270-885-1561 | |
Gateway Foot And Ankle Center, Plc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 210 Burley Ave, Hopkinsville, KY 42240 Phone: 931-245-1920 | |
Gateway Foot And Ankle Center, Plc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1910 S. Virginia St, Hopkinsville, KY 42240 Phone: 931-245-1920 | |
Dr. Mark Joseph Edmunds, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1610 S Main St, Ste. 9, Hopkinsville, KY 42240 Phone: 270-885-1203 Fax: 270-885-1561 |