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80 Hospital Dr Ste 2 Barbourville KY 40906-7363 | |
(606) 545-4460 | |
(606) 545-4469 |
Full Name | |
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Speciality | Clinic/Center |
Location | 80 Hospital Dr Ste 2, Barbourville, Kentucky |
Authorized Official Name and Position | Hollie Harris (PRESIDENT AND CEO) |
Authorized Official Contact | 8592262511 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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80 Hospital Dr Ste 2 Barbourville KY 40906-7363 Ph: (606) 545-4460 | 80 Hospital Dr Ste 2 Barbourville KY 40906-7363 Ph: (606) 545-4460 |
NPI Number | 1770029126 |
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Provider Enumeration Date | 01/10/2017 |
Last Update Date | 09/18/2024 |
Medicare PECOS PAC ID | 8123293818 |
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Medicare Enrollment ID | O20170414000179 |
Identifier | Type | State | Issuer |
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1770029126 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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