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107 Old Hwy 60 Hardinsburg KY 40143 | |
(270) 756-7000 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 107 Old Hwy 60, Hardinsburg, Kentucky |
Authorized Official Name and Position | Angela Portman (CEO) |
Authorized Official Contact | 2707566569 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1011 Old Highway 60 Hardinsburg KY 40143-2519 Ph: (270) 756-7000 | 107 Old Hwy 60 Hardinsburg KY 40143 Ph: (270) 756-7000 |
NPI Number | 1568912400 |
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Provider Enumeration Date | 10/04/2016 |
Last Update Date | 12/28/2017 |
Medicare PECOS PAC ID | 0941106454 |
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Medicare Enrollment ID | O20170321001332 |
Identifier | Type | State | Issuer |
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1568912400 | NPI | - | NPPES |
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 |