Full Name | |
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Speciality | Pathology |
Location | 11203 Main St, Martin, 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 | 11203 Main St Martin KY 41649-7999 Ph: (606) 285-6400 |
NPI Number | 1952894826 |
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Provider Enumeration Date | 06/14/2018 |
Last Update Date | 09/19/2024 |
Medicare PECOS PAC ID | 8123293818 |
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Medicare Enrollment ID | O20230531001093 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952894826 | NPI | - | NPPES |
Provider Name | Michael E Anton |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1740284371 PECOS PAC ID: 2668450420 Enrollment ID: I20040709000252 |
Provider Name | John Joseph Anton |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1508860438 PECOS PAC ID: 9537131271 Enrollment ID: I20040812000028 |
Provider Name | Johnsey Leef |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1568466050 PECOS PAC ID: 0143292847 Enrollment ID: I20040812000394 |
Mountain Comprehensive Care Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11206 Main St, Martin, KY 41649 Phone: 606-285-3142 | |
G.m. Majmundar Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11217 Main Street, Martin, KY 41649 Phone: 606-285-9000 Fax: 606-285-9484 |