| Collins Rural Health | |
|
109 E Main St Whitesburg KY 41858-7351 | |
| (606) 633-4488 | |
| (606) 633-8383 |
| Full Name | Collins Rural Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 109 E Main St, Whitesburg, Kentucky |
| Authorized Official Name and Position | Willaim M Collins (OWNER) |
| Authorized Official Contact | 6066334488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collins Rural Health 109 E Main St Whitesburg KY 41858-7351 Ph: (606) 633-4488 | Collins Rural Health 109 E Main St Whitesburg KY 41858-7351 Ph: (606) 633-4488 |
| NPI Number | 1477693380 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 06/02/2014 |
| Medicare PECOS PAC ID | 7416844584 |
|---|---|
| Medicare Enrollment ID | O20140512000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477693380 | NPI | - | NPPES |
| 35000983 | Medicaid | KY | |
| 48720 | Other | KY | ATHEM BLUE |
| 64233752 | Other | KY | MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 23375 (Kentucky) | Primary |
| Provider Name | William M Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174525836 PECOS PAC ID: 5496642563 Enrollment ID: I20040305000117 |
| Provider Name | Katina D Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497757157 PECOS PAC ID: 5597988097 Enrollment ID: I20140602002496 |
| Provider Name | Carolyn Compton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881098754 PECOS PAC ID: 7214256700 Enrollment ID: I20150505001527 |
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