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207 A Fairground Rd Hardinsburg KY 40143-2597 | |
(270) 756-0420 | |
(270) 756-0470 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 207 A Fairground Rd, Hardinsburg, Kentucky |
Authorized Official Name and Position | Angela F Portman (CEO) |
Authorized Official Contact | 2707566569 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1011 Old Highway 60 Hardinsburg KY 40143-2519 Ph: (270) 756-7000 | 207 A Fairground Rd Hardinsburg KY 40143-2597 Ph: (270) 756-0420 |
NPI Number | 1356723977 |
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Provider Enumeration Date | 06/19/2015 |
Last Update Date | 03/02/2017 |
Identifier | Type | State | Issuer |
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1356723977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Ack Healthcare Management Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 83 Ballpark Rd, Hardinsburg, KY 40143 Phone: 270-580-4778 Fax: 270-580-4779 |