| Blount Rural Health Center | |
|
810 South Main Elkton KY 42220 | |
| (270) 265-6504 | |
| (270) 265-5605 |
| Full Name | Blount Rural Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 810 South Main, Elkton, Kentucky |
| Authorized Official Name and Position | Anita Jo Powell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2702656504 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blount Rural Health Center Po Box 277 Elkton KY 42220-0277 Ph: (270) 265-5656 | Blount Rural Health Center 810 South Main Elkton KY 42220 Ph: (270) 265-6504 |
| NPI Number | 1538451505 |
|---|---|
| Provider Enumeration Date | 05/10/2011 |
| Last Update Date | 01/18/2016 |
| Medicare PECOS PAC ID | 4082855069 |
|---|---|
| Medicare Enrollment ID | O20130802000717 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538451505 | NPI | - | NPPES |
| KO98600 | Other | MEDCIARE PART B | |
| 243305 | Other | MEDCIARE UIN | |
| 7100267820 | Medicaid | KY |
| Provider Name | Thomas G Grabenstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144301086 PECOS PAC ID: 6406800911 Enrollment ID: I20130819000737 |
| Provider Name | Heather R Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356851885 PECOS PAC ID: 7618243114 Enrollment ID: I20171030000149 |
| Provider Name | Mark Allen Monroe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457808354 PECOS PAC ID: 4688914823 Enrollment ID: I20190325002882 |
| Provider Name | Diana R Leszczewicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770129272 PECOS PAC ID: 2668896028 Enrollment ID: I20200720000995 |
| Provider Name | Katie H Kuzma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851945257 PECOS PAC ID: 8123442480 Enrollment ID: I20200720001277 |
| Provider Name | Jataun L Isenhower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306485693 PECOS PAC ID: 0648696856 Enrollment ID: I20200819000867 |
| Provider Name | Sheena Michele Blake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083218820 PECOS PAC ID: 1850705054 Enrollment ID: I20210129001256 |
Logan Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 South Main Street, Elkton, KY 42220 Phone: 270-265-5040 Fax: 270-265-5235 | |
Blount Rural Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 810 S Main St, Elkton, KY 42220 Phone: 270-265-5656 Fax: 270-265-5605 | |
Logan Primary Care - Elkton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 S Main St, Elkton, KY 42220 Phone: 270-265-5023 Fax: 270-265-5026 | |
Elkton Clinic Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 713 W Main St, Elkton, KY 42220 Phone: 270-265-5353 | |
Med Center Health Primary Care Elkton Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 S Main St, Elkton, KY 42220 Phone: 270-265-5023 Fax: 270-265-5026 | |
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 |