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107 Meridian Way Ste 200 Richmond KY 40475-2878 | |
(859) 624-6366 | |
(859) 971-4695 |
Full Name | |
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Speciality | Clinic/Center |
Location | 107 Meridian Way Ste 200, Richmond, Kentucky |
Authorized Official Name and Position | Danyel D Clay (DIRECTOR, 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 | 107 Meridian Way Ste 200 Richmond KY 40475-2878 Ph: (859) 624-6366 |
NPI Number | 1740758325 |
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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 | O20190416003249 |
Identifier | Type | State | Issuer |
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1740758325 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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