Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 810 S Main St, Elkton, Kentucky |
Authorized Official Name and Position | Anita Powell (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2702655600 |
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 277 Elkton KY 42220-0277 Ph: () - | 810 S Main St Elkton KY 42220 Ph: (270) 265-5656 |
NPI Number | 1346670189 |
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Provider Enumeration Date | 11/14/2013 |
Last Update Date | 10/29/2014 |
Medicare PECOS PAC ID | 4082855069 |
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Medicare Enrollment ID | O20140116000512 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346670189 | NPI | - | NPPES |
7100295600 | Other | KY | KY MEDICAID EPSDT |
7106278200 | Medicaid | KY |
Elkton Clinic Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 713 W Main St, Elkton, KY 42220 Phone: 270-265-5353 | |
Geeta Chavda Dba Henry Bell Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 E Main St, Elkton, KY 42220 Phone: 270-265-2574 Fax: 270-265-3098 |