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26901 Us Highway 119 N Belfry KY 41514-7520 | |
| (606) 237-0327 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 26901 Us Highway 119 N, Belfry, Kentucky |
| Authorized Official Name and Position | Hollie Harris (PRESIDENT AND CEO) |
| Authorized Official Contact | 8592262511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
26901 Us Highway 119 N Belfry KY 41514-7520 Ph: (606) 237-0327 | 26901 Us Highway 119 N Belfry KY 41514-7520 Ph: (606) 237-0327 |
| NPI Number | 1144405101 |
|---|---|
| Provider Enumeration Date | 01/08/2008 |
| Last Update Date | 09/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144405101 | NPI | - | NPPES |
| 7100062430 | Medicaid | KY | |
| 3810012272 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 700180 (Kentucky) | Primary |
Tlc Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26317 Highway 119 North, Belfry, KY 41514 Phone: 606-353-6926 Fax: 606-353-6928 |