| |
3504 Cumberland Ave Middlesboro KY 40965 | |
(606) 248-0737 | |
(606) 248-0739 |
Full Name | |
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Speciality | Clinic/Center |
Location | 3504 Cumberland Ave, Middlesboro, 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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100 Airport Gardens Rd Hazard KY 41701-9529 Ph: (606) 487-7524 | 3504 Cumberland Ave Middlesboro KY 40965 Ph: (606) 248-0737 |
NPI Number | 1962908277 |
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Provider Enumeration Date | 04/04/2018 |
Last Update Date | 09/19/2024 |
Medicare PECOS PAC ID | 8123293818 |
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Medicare Enrollment ID | O20180801000053 |
Identifier | Type | State | Issuer |
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1962908277 | NPI | - | NPPES |
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