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225 Industrial Park Rd Dawson Springs KY 42408-2423 | |
(270) 797-3521 | |
(270) 797-3292 |
Full Name | |
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Speciality | Clinic/Center |
Location | 225 Industrial Park Rd, Dawson Springs, Kentucky |
Authorized Official Name and Position | Danyel D Clay (EXECUTIVE DIRECTOR REVENUE CYCLE) |
Authorized Official Contact | 5022534911 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2701 Eastpoint Pkwy Louisville KY 40223-4166 Ph: (502) 253-4911 | 225 Industrial Park Rd Dawson Springs KY 42408-2423 Ph: (270) 797-3521 |
NPI Number | 1356922827 |
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Provider Enumeration Date | 04/16/2021 |
Last Update Date | 04/21/2021 |
Medicare PECOS PAC ID | 6103220330 |
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Medicare Enrollment ID | O20211018002583 |
Identifier | Type | State | Issuer |
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1356922827 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |