| Eden Elementary School Clinic | |
|
179 Eden Ln Inez KY 41224-8020 | |
| (606) 263-6500 | |
| Not Available |
| Full Name | Eden Elementary School Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 179 Eden Ln, Inez, Kentucky |
| Authorized Official Name and Position | Debbie Colvin (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6068868546 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eden Elementary School Clinic 1709 Ky Route 321 Ste 3 Prestonsburg KY 41653-9097 Ph: (606) 886-8546 | Eden Elementary School Clinic 179 Eden Ln Inez KY 41224-8020 Ph: (606) 263-6500 |
| NPI Number | 1043948516 |
|---|---|
| Provider Enumeration Date | 08/11/2022 |
| Last Update Date | 07/12/2023 |
| Medicare PECOS PAC ID | 1951211218 |
|---|---|
| Medicare Enrollment ID | O20230112001824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043948516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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