Princeton Rural Health Clinic | |
605 S Jefferson St Princeton KY 42445-2173 | |
(270) 365-5502 | |
(270) 365-4467 |
Full Name | Princeton Rural Health Clinic |
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Speciality | Clinic/Center |
Location | 605 S Jefferson St, Princeton, 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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Princeton Rural Health Clinic 1901 Campus Pl Louisville KY 40299-2308 Ph: (502) 253-4911 | Princeton Rural Health Clinic 605 S Jefferson St Princeton KY 42445-2173 Ph: (270) 365-5502 |
NPI Number | 1447728043 |
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Provider Enumeration Date | 11/13/2018 |
Last Update Date | 07/22/2024 |
Medicare PECOS PAC ID | 5597867184 |
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Medicare Enrollment ID | O20191025000274 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447728043 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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C. Michael Littlejohn, Md, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 S Jefferson St, Princeton, KY 42445 Phone: 270-365-3343 Fax: 270-365-4467 |