Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 49 Ky 15 N, Campton, Kentucky |
Authorized Official Name and Position | Tara P Richardson (VP PATIENT FINANCIAL SERVICES) |
Authorized Official Contact | 6152213672 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 689022 Franklin TN 37068-9022 Ph: (800) 709-7338 | 49 Ky 15 N Campton KY 41301-7284 Ph: (606) 668-9841 |
NPI Number | 1417293846 |
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Provider Enumeration Date | 12/12/2012 |
Last Update Date | 05/03/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417293846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 100620 (Kentucky) | Primary |
Appalachian Wellness Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 592 Ky 15 S Ste 1-2, Campton, KY 41301 Phone: 606-668-9178 Fax: 877-203-3485 | |
United Clinics Of Kentucky Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 239 Mountain Parkway Spur, Campton, KY 41301 Phone: 606-668-6932 | |