| |
225 Industrial Park Rd Dawson Springs KY 42408-2423 | |
(270) 797-3521 | |
(270) 797-3292 |
Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 225 Industrial Park Rd, Dawson Springs, Kentucky |
Authorized Official Name and Position | Danyel D Clay (DIRECTOR REVENUE CYCLE) |
Authorized Official Contact | 5022534911 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
5200 Commerce Crossings Dr Fl 3 Louisville KY 40229-2182 Ph: (502) 253-4911 | 225 Industrial Park Rd Dawson Springs KY 42408-2423 Ph: (270) 797-3521 |
NPI Number | 1982178216 |
---|---|
Provider Enumeration Date | 01/21/2019 |
Last Update Date | 01/24/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982178216 | NPI | - | NPPES |
18-7390 | Other | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |