Freeburn Community Health Center | |
136 Park Rd Freeburn KY 41528-8718 | |
(606) 984-5484 | |
Not Available |
Full Name | Freeburn Community Health Center |
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Speciality | Clinic/Center |
Location | 136 Park Rd, Freeburn, Kentucky |
Authorized Official Name and Position | Vicki Hunt (DIRECTOR OF REIMBURSEMENT) |
Authorized Official Contact | 6068868546 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Freeburn Community Health Center 1709 Ky Route 321 Prestonsburg KY 41653-9097 Ph: (606) 886-8546 | Freeburn Community Health Center 136 Park Rd Freeburn KY 41528-8718 Ph: (606) 984-5484 |
NPI Number | 1972173136 |
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Provider Enumeration Date | 06/30/2021 |
Last Update Date | 05/19/2022 |
Medicare PECOS PAC ID | 1951211218 |
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Medicare Enrollment ID | O20210901001642 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972173136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Wendy S Martin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447301171 PECOS PAC ID: 6507868908 Enrollment ID: I20070214000260 |
Provider Name | David W Martin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619195864 PECOS PAC ID: 5496848327 Enrollment ID: I20070907000495 |
Provider Name | Lesley Ann Dotson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720273105 PECOS PAC ID: 2567518350 Enrollment ID: I20090921000050 |
Provider Name | William T Connelly |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780854026 PECOS PAC ID: 6002889433 Enrollment ID: I20100106000717 |
Provider Name | Joyce Little |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982977484 PECOS PAC ID: 4183885130 Enrollment ID: I20120418000416 |
Provider Name | Bethani K Rose |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326367715 PECOS PAC ID: 2769626209 Enrollment ID: I20130923000693 |
Provider Name | Amanda R Lowe |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225357619 PECOS PAC ID: 7416188560 Enrollment ID: I20140402002274 |
Provider Name | Ashley D Branham |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811390776 PECOS PAC ID: 3072735851 Enrollment ID: I20141111001223 |
Provider Name | Sheena Mosley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588053565 PECOS PAC ID: 5597085589 Enrollment ID: I20150514001078 |
Provider Name | Teresa O'brien-conley |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1376542746 PECOS PAC ID: 6608169164 Enrollment ID: I20160721001968 |
Provider Name | Shanna J Hall |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790268530 PECOS PAC ID: 9537410154 Enrollment ID: I20180920002802 |
Provider Name | Dena Taylor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346713260 PECOS PAC ID: 5193065001 Enrollment ID: I20190312002513 |
Provider Name | Sarah Thacker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164056875 PECOS PAC ID: 9739505785 Enrollment ID: I20200820002339 |
Provider Name | Shana Slone |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063839876 PECOS PAC ID: 7315365525 Enrollment ID: I20200918001759 |
Provider Name | April L Estep |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144622416 PECOS PAC ID: 7810307071 Enrollment ID: I20201029002604 |