Cumberland Family Clinic, Pllc | |
57 Hogue Rd Pine Knot KY 42635 | |
(606) 310-9737 | |
Not Available |
Full Name | Cumberland Family Clinic, Pllc |
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Speciality | Clinic/Center |
Location | 57 Hogue Rd, Pine Knot, Kentucky |
Authorized Official Name and Position | Monica S Lawson (PARTNER) |
Authorized Official Contact | 6063109737 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cumberland Family Clinic, Pllc Po Box 300 Pine Knot KY 42635-0300 Ph: (606) 310-9737 | Cumberland Family Clinic, Pllc 57 Hogue Rd Pine Knot KY 42635 Ph: (606) 310-9737 |
NPI Number | 1366703159 |
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Provider Enumeration Date | 06/07/2012 |
Last Update Date | 06/07/2012 |
Medicare PECOS PAC ID | 0749426047 |
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Medicare Enrollment ID | O20130411000038 |
Identifier | Type | State | Issuer |
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1366703159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Tammie Lynn Emerson-johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255314159 PECOS PAC ID: 4183676547 Enrollment ID: I20050214000538 |
Provider Name | Misty R Goldson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528069531 PECOS PAC ID: 4688640360 Enrollment ID: I20070809000660 |
Provider Name | Terry Allen Lawson |
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Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1851613228 PECOS PAC ID: 0941251573 Enrollment ID: I20101115000542 |
Provider Name | Madonna Louise Loudermilk |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063948594 PECOS PAC ID: 2769759661 Enrollment ID: I20170524002701 |
Provider Name | Emily R Ross |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104331016 PECOS PAC ID: 6002174695 Enrollment ID: I20180104000293 |
Provider Name | Joshua W Sharp |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689282642 PECOS PAC ID: 2365856945 Enrollment ID: I20210121002014 |
Pine Knot Primary Healthy Kids Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 119 E Highway 2792, Pine Knot, KY 42635 Phone: 844-435-0900 Fax: 270-692-3559 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6519 S Highway 1651, Pine Knot, KY 42635 Phone: 844-435-0900 Fax: 270-858-4029 |