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937 Campbellsville Rd Columbia KY 42728-2265 | |
(270) 384-2777 | |
(270) 384-2770 |
Full Name | |
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Speciality | Clinic/Center |
Location | 937 Campbellsville Rd, Columbia, Kentucky |
Authorized Official Name and Position | Frances Hay (DIRECTOR OF BUSINESS ADMINISTRATION) |
Authorized Official Contact | 2708641472 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 1080 Burkesville KY 42717-1080 Ph: (270) 864-1472 | 937 Campbellsville Rd Columbia KY 42728-2265 Ph: (270) 384-2777 |
NPI Number | 1003016882 |
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Provider Enumeration Date | 07/20/2007 |
Last Update Date | 04/07/2014 |
Medicare PECOS PAC ID | 6305947789 |
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Medicare Enrollment ID | O20070730000405 |
Identifier | Type | State | Issuer |
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1003016882 | NPI | - | NPPES |
7100017280 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
T J Health Columbia Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 901 Westlake Dr, Columbia, KY 42728 Phone: 270-384-4753 Fax: 270-384-6228 | |
Grant Chiropractic Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 908 Russell Rd, Columbia, KY 42728 Phone: 270-384-3271 Fax: 270-384-3271 |