| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 37 Ball Park Road, Harlan, 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 |
|---|---|
37 Ball Park Road Harlan KY 40831 Ph: (606) 573-4520 | 37 Ball Park Road Harlan KY 40831 Ph: (606) 573-4520 |
| NPI Number | 1669506523 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 09/20/2024 |
| Medicare PECOS PAC ID | 0840107835 |
|---|---|
| Medicare Enrollment ID | O20170727003329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669506523 | NPI | - | NPPES |
| 7100464330 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Dr. Abdulkader Dahhan Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Professional Ln Ste 101, Harlan, KY 40831 Phone: 606-573-1085 Fax: 606-573-9956 | |
Mountain Comprehensive Health Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 132 Village Center Rd, Harlan, KY 40831 Phone: 606-573-7771 Fax: 606-573-2809 | |
Clover Fork Outpatient Medical Project Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 209 E Mound St, Harlan, KY 40831 Phone: 606-573-1975 Fax: 606-837-9389 | |
Robert R. Atkins, Md Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 E Central St, Harlan, KY 40831 Phone: 606-573-9440 | |
Harlan Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Railroad St Ste 5, Harlan, KY 40831 Phone: 606-573-8383 Fax: 606-573-8388 | |
Healthcare Plus P. S. C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 Skidmore Dr, Harlan, KY 40831 Phone: 606-573-4440 Fax: 606-573-4441 |