Chic | |
920 Richmond Rd Irvine KY 40336-7230 | |
(606) 717-0177 | |
Not Available |
Full Name | Chic |
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Speciality | Clinic/Center |
Location | 920 Richmond Rd, Irvine, Kentucky |
Authorized Official Name and Position | Jennifer Maupin (OWNER) |
Authorized Official Contact | 8592004513 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chic 920 Richmond Rd Irvine KY 40336-7230 Ph: () - | Chic 920 Richmond Rd Irvine KY 40336-7230 Ph: (606) 717-0177 |
NPI Number | 1760185003 |
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Provider Enumeration Date | 03/24/2023 |
Last Update Date | 01/19/2024 |
Medicare PECOS PAC ID | 1557722683 |
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Medicare Enrollment ID | O20230804001427 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760185003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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