Arh Our Lady Of The Way | |
11203 Main St Martin KY 41649-7999 | |
(606) 285-6400 | |
Not Available |
Full Name | Arh Our Lady Of The Way |
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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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Arh Our Lady Of The Way 100 Airport Gardens Rd Hazard KY 41701-9529 Ph: (606) 487-7524 | Arh Our Lady Of The Way 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 |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1568466050 PECOS PAC ID: 0143292847 Enrollment ID: I20040812000394 |
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