| Healthy Kids Clinic - Danville | |
|
478 Whirlaway Dr Ste 100 Danville KY 40422-9037 | |
| (859) 236-4333 | |
| (859) 236-2284 |
| Full Name | Healthy Kids Clinic - Danville |
|---|---|
| Speciality | Clinic/Center |
| Location | 478 Whirlaway Dr, Danville, Kentucky |
| Authorized Official Name and Position | Eric E Loy (CEO) |
| Authorized Official Contact | 2708586655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Kids Clinic - Danville Po Box 1080 Burkesville KY 42717-1080 Ph: (270) 858-6655 | Healthy Kids Clinic - Danville 478 Whirlaway Dr Ste 100 Danville KY 40422-9037 Ph: (859) 236-4333 |
| NPI Number | 1649809864 |
|---|---|
| Provider Enumeration Date | 04/08/2020 |
| Last Update Date | 03/14/2023 |
| Medicare PECOS PAC ID | 6305947789 |
|---|---|
| Medicare Enrollment ID | O20200727000731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649809864 | NPI | - | NPPES |
| 7100017280 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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