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24 Left Penhook Rd Harold KY 41635-7064 | |
(606) 478-8787 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 24 Left Penhook Rd, Harold, 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 | 24 Left Penhook Rd Harold KY 41635-7064 Ph: (606) 478-8787 |
NPI Number | 1194351460 |
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Provider Enumeration Date | 03/19/2020 |
Last Update Date | 09/18/2024 |
Medicare PECOS PAC ID | 8123293818 |
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Medicare Enrollment ID | O20200505000268 |
Identifier | Type | State | Issuer |
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1194351460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Harold Primay Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 265 Old Harold Rd, Harold, KY 41635 Phone: 606-478-8787 |