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509 Memorial Dr Suite 2 Manchester KY 40962-6195 | |
(606) 598-8813 | |
(606) 599-0983 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 509 Memorial Dr, Manchester, Kentucky |
Authorized Official Name and Position | Benny Nolen (VICE PRESIDENT) |
Authorized Official Contact | 6065985104 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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509 Memorial Dr Suite 2 Manchester KY 40962-6195 Ph: (606) 598-8813 | 509 Memorial Dr Suite 2 Manchester KY 40962-6195 Ph: (606) 598-8813 |
NPI Number | 1497887921 |
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Provider Enumeration Date | 03/10/2007 |
Last Update Date | 01/13/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497887921 | NPI | - | NPPES |
080008321 | Other | KY | RAILROAD MEDICARE |
533520561 | Other | KY | TRICARE |
7100009090 | Medicaid | KY | |
030523000 | Other | KY | BLACKLUNG |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Kentucky) | Primary |
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 |