Crofton Clinic Psc | |
241 S Madisonville St Crofton KY 42217-8009 | |
(270) 220-0420 | |
Not Available |
Full Name | Crofton Clinic Psc |
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Speciality | Clinic/Center |
Location | 241 S Madisonville St, Crofton, Kentucky |
Authorized Official Name and Position | Manoj Majmudar (OWNER) |
Authorized Official Contact | 2702200240 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Crofton Clinic Psc 241 S Madisonville St Crofton KY 42217-8009 Ph: (270) 220-0240 | Crofton Clinic Psc 241 S Madisonville St Crofton KY 42217-8009 Ph: (270) 220-0420 |
NPI Number | 1194253245 |
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Provider Enumeration Date | 06/01/2017 |
Last Update Date | 03/01/2018 |
Medicare PECOS PAC ID | 8729357983 |
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Medicare Enrollment ID | O20170630001481 |
Identifier | Type | State | Issuer |
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1194253245 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |