| |
11901 N Highway 421 11901 North Hwy 421 Manchester KY 40962-4859 | |
(606) 598-2706 | |
(606) 598-0856 |
Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 11901 N Highway 421, Manchester, Kentucky |
Authorized Official Name and Position | Carla Jean Johnson (INS. BILLING CREDENTIALING CLERK) |
Authorized Official Contact | 6068436195 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
11901 N Highway 421 11901 North Hwy 421 Manchester KY 40962-4859 Ph: (606) 598-2706 | 11901 N Highway 421 11901 North Hwy 421 Manchester KY 40962-4859 Ph: (606) 598-2706 |
NPI Number | 1114986197 |
---|---|
Provider Enumeration Date | 03/20/2006 |
Last Update Date | 07/13/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114986197 | NPI | - | NPPES |
7100049180 | Medicaid | KY | |
65907750 | Medicaid | KY | |
7100045260 | Medicaid | KY |
Bell Medical Billing Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Richmond Rd Unit B, Manchester, KY 40962 Phone: 859-402-4853 Fax: 606-598-8838 | |
Kishore Internal Medicine, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 94 Marie Langdon Dr, Ste 2, Manchester, KY 40962 Phone: 606-599-0200 Fax: 606-599-0202 | |
Christian Family Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Garrard Sq, Manchester, KY 40962 Phone: 606-658-2323 Fax: 606-658-6085 |