Bardstown Primary Care, Pllc | |
102 W Depot St Springfield KY 40069-1159 | |
(502) 348-6309 | |
Not Available |
Full Name | Bardstown Primary Care, Pllc |
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Speciality | Clinic/Center |
Location | 102 W Depot St, Springfield, Kentucky |
Authorized Official Name and Position | Mary Jo Nalley (CFO) |
Authorized Official Contact | 5023487554 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bardstown Primary Care, Pllc 201 S 5th St Bardstown KY 40004-1142 Ph: (502) 348-6309 | Bardstown Primary Care, Pllc 102 W Depot St Springfield KY 40069-1159 Ph: (502) 348-6309 |
NPI Number | 1639654809 |
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Provider Enumeration Date | 10/03/2018 |
Last Update Date | 10/03/2018 |
Medicare PECOS PAC ID | 4880687862 |
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Medicare Enrollment ID | O20190107000287 |
Identifier | Type | State | Issuer |
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1639654809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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