| Martin County High School Clinic | |
|
137 Holly Bush Dr Inez KY 41224-9163 | |
| (606) 263-6500 | |
| Not Available |
| Full Name | Martin County High School Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 137 Holly Bush 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 |
|---|---|
| Martin County High School Clinic 1709 Ky Route 321 Ste 3 Prestonsburg KY 41653-9097 Ph: (606) 886-8546 | Martin County High School Clinic 137 Holly Bush Dr Inez KY 41224-9163 Ph: (606) 263-6500 |
| NPI Number | 1912634072 |
|---|---|
| Provider Enumeration Date | 08/08/2022 |
| Last Update Date | 03/24/2023 |
| Medicare PECOS PAC ID | 1951211218 |
|---|---|
| Medicare Enrollment ID | O20221019002320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912634072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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