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106 W Clay St Clinton KY 42031-1317 | |
| (270) 653-6277 | |
| (270) 653-4097 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 106 W Clay St, Clinton, Kentucky |
| Authorized Official Name and Position | Laurie Holtsford (AUTH OFFICIAL/DIR BUSINESS OFFICE) |
| Authorized Official Contact | 6154657466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 60985 Saint Louis MO 63160-0001 Ph: () - | 106 W Clay St Clinton KY 42031-1317 Ph: (270) 653-6277 |
| NPI Number | 1396713079 |
|---|---|
| Provider Enumeration Date | 03/09/2006 |
| Last Update Date | 08/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396713079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 900016 (Kentucky) | Primary |
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 |