| Corbin Family Health Center | |
|
140 Bryan Blvd Corbin KY 40701-2775 | |
| (606) 523-2005 | |
| (606) 546-9363 |
| Full Name | Corbin Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 140 Bryan Blvd, Corbin, Kentucky |
| Authorized Official Name and Position | Stephanie J Wilson (PRACTICE MANAGER) |
| Authorized Official Contact | 6065469287 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corbin Family Health Center Po Box 1150 Barbourville KY 40906-5150 Ph: (606) 546-9287 | Corbin Family Health Center 140 Bryan Blvd Corbin KY 40701-2775 Ph: (606) 523-2005 |
| NPI Number | 1073599056 |
|---|---|
| Provider Enumeration Date | 12/21/2005 |
| Last Update Date | 01/08/2014 |
| Medicare PECOS PAC ID | 7416867387 |
|---|---|
| Medicare Enrollment ID | O20030710000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073599056 | NPI | - | NPPES |
| 7100158340 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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