| |
302 Walnut Street Pineville KY 40977 | |
(606) 302-2034 | |
(606) 337-0970 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 302 Walnut Street, Pineville, 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 |
---|---|
100 Airport Gardens Rd Hazard KY 41701-9529 Ph: (606) 487-7524 | 302 Walnut Street Pineville KY 40977 Ph: (606) 302-2034 |
NPI Number | 1669072757 |
---|---|
Provider Enumeration Date | 10/28/2020 |
Last Update Date | 09/18/2024 |
Medicare PECOS PAC ID | 8123293818 |
---|---|
Medicare Enrollment ID | O20201203000735 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669072757 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Southeast Family Practice Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 222 W Tennessee Ave, Pineville, KY 40977 Phone: 606-499-5135 | |
Pineville Community Hospital Association, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 Riverview Ave, Pineville, KY 40977 Phone: 606-337-3051 | |
Memorial Hospital Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12904 Robert L Madon Byp Ste 2, Pineville, KY 40977 Phone: 606-598-4508 Fax: 606-712-1200 | |
Pine Mountain Clinic Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 850 Riverview Rd, Pineville, KY 40977 Phone: 606-337-6047 Fax: 606-337-0925 | |