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210 Bevins Ln Georgetown KY 40324-6120 | |
(502) 868-0622 | |
(502) 868-9097 |
Full Name | |
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Speciality | Clinic/Center |
Location | 210 Bevins Ln, Georgetown, 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 |
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1901 Campus Pl Louisville KY 40299-2308 Ph: (502) 253-4911 | 210 Bevins Ln Georgetown KY 40324-6120 Ph: (502) 868-0622 |
NPI Number | 1972158475 |
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Provider Enumeration Date | 08/02/2019 |
Last Update Date | 07/22/2024 |
Medicare PECOS PAC ID | 5597867184 |
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Medicare Enrollment ID | O20191008002231 |
Identifier | Type | State | Issuer |
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1972158475 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Matthew C Birdwhistell Do Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1138 Lexington Rd, Suite 290, Georgetown, KY 40324 Phone: 502-863-0721 Fax: 502-863-6104 | |
Allen T Griffin Ii Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1138 Lexington Rd Ste 290, Georgetown, KY 40324 Phone: 502-863-0721 Fax: 502-863-6104 | |
Yin Fire Holistic Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 N Hamilton St, Georgetown, KY 40324 Phone: 513-356-0958 | |