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403 W Fairview Ave Eddyville KY 42038-8259 | |
(270) 388-6054 | |
(270) 365-4152 |
Full Name | |
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Speciality | Clinic/Center |
Location | 403 W Fairview Ave, Eddyville, Kentucky |
Authorized Official Name and Position | Harold Daniel Odegaard (CEO) |
Authorized Official Contact | 2703650321 |
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 410 Princeton KY 42445-0410 Ph: (270) 365-0300 | 403 W Fairview Ave Eddyville KY 42038-8259 Ph: (270) 388-6054 |
NPI Number | 1780464826 |
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Provider Enumeration Date | 10/05/2023 |
Last Update Date | 11/26/2024 |
Medicare PECOS PAC ID | 0749275014 |
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Medicare Enrollment ID | O20240110004452 |
Identifier | Type | State | Issuer |
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1780464826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
David W French Md Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 403 W Fairview Ave, Eddyville, KY 42038 Phone: 270-388-5454 Fax: 270-388-5452 | |