| Casey County Family Practice | |
|
199 Adams St Liberty KY 42539-3064 | |
| (606) 787-5044 | |
| (606) 787-0251 |
| Full Name | Casey County Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 199 Adams St, Liberty, Kentucky |
| Authorized Official Name and Position | Rex A. Tungate (ADMINISTRATOR) |
| Authorized Official Contact | 6067876275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Casey County Family Practice 199 Adams St Liberty KY 42539-3064 Ph: (606) 787-5044 | Casey County Family Practice 199 Adams St Liberty KY 42539-3064 Ph: (606) 787-5044 |
| NPI Number | 1679720114 |
|---|---|
| Provider Enumeration Date | 08/27/2008 |
| Last Update Date | 08/23/2023 |
| Medicare PECOS PAC ID | 0749193423 |
|---|---|
| Medicare Enrollment ID | O20090403000214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679720114 | NPI | - | NPPES |
| 7100070150 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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