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299a Glasgow Rd Burkesville KY 42717 | |
(270) 864-2555 | |
(270) 864-3777 |
Full Name | |
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Speciality | Clinic/Center |
Location | 299a Glasgow Rd, Burkesville, Kentucky |
Authorized Official Name and Position | Rick Neikirk (CEO) |
Authorized Official Contact | 2708642511 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 280 Burkesville KY 42717-0280 Ph: (270) 864-2511 | 299a Glasgow Rd Burkesville KY 42717 Ph: (270) 864-2555 |
NPI Number | 1114937208 |
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Provider Enumeration Date | 08/09/2006 |
Last Update Date | 08/16/2018 |
Medicare PECOS PAC ID | 9830006618 |
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Medicare Enrollment ID | O20020920000000 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114937208 | NPI | - | NPPES |
000000243241 | Other | KY | BCBS EKKLECTONIC BILLING |
35001304 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 900136 (Kentucky) | Primary |
Loy Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 Keen St, Burkesville, KY 42717 Phone: 270-864-2889 Fax: 270-864-2229 |