Inez Elementary School Clinic | |
5000 Elementary Dr Inez KY 41224-9538 | |
(606) 263-6500 | |
Not Available |
Full Name | Inez Elementary School Clinic |
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Speciality | Clinic/Center |
Location | 5000 Elementary Dr, 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 |
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Inez Elementary School Clinic 1709 Ky Route 321 Ste 3 Prestonsburg KY 41653-9097 Ph: (606) 886-8546 | Inez Elementary School Clinic 5000 Elementary Dr Inez KY 41224-9538 Ph: (606) 263-6500 |
NPI Number | 1790413268 |
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Provider Enumeration Date | 08/11/2022 |
Last Update Date | 03/24/2023 |
Medicare PECOS PAC ID | 1951211218 |
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Medicare Enrollment ID | O20230321001356 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790413268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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