| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 351 Moss Dr, Clinton, Kentucky |
| Authorized Official Name and Position | Sophia L Arwood (DIRECTOR) |
| Authorized Official Contact | 6156286038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
351 Moss Dr Clinton KY 42031-1321 Ph: (270) 653-6277 | 351 Moss Dr Clinton KY 42031-1321 Ph: (270) 653-6277 |
| NPI Number | 1437109923 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 10/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437109923 | NPI | - | NPPES |
| 295172 | Other | KY | BCBS |
| 35000199 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Jo-ann N. Bolli, M. D., P.s.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 S Washington St, Suite 201, Clinton, KY 42031 Phone: 270-653-4070 Fax: 270-653-4007 | |
Arcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 308 S Washington St Ste 200, Clinton, KY 42031 Phone: 270-913-2478 Fax: 270-913-2479 | |
Communtiy Healthcare Of Western Kentucky Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 South Washington Street Suite 200, Clinton, KY 42031 Phone: 270-653-0220 Fax: 270-653-0221 |