| Benton Rural Health Clinic | |
|
543 Powell Ln Benton KY 42025-5366 | |
| (270) 415-7070 | |
| (270) 415-4071 |
| Full Name | Benton Rural Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 543 Powell Ln, Benton, Kentucky |
| Authorized Official Name and Position | Danyel D Clay (VP REVENUE CYCLE) |
| Authorized Official Contact | 5022534911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Benton Rural Health Clinic 1901 Campus Pl Louisville KY 40299-2308 Ph: (502) 253-4911 | Benton Rural Health Clinic 543 Powell Ln Benton KY 42025-5366 Ph: (270) 415-7070 |
| NPI Number | 1487210654 |
|---|---|
| Provider Enumeration Date | 05/14/2019 |
| Last Update Date | 07/22/2024 |
| Medicare PECOS PAC ID | 5597867184 |
|---|---|
| Medicare Enrollment ID | O20190806003654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487210654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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