| Dewitt Elementary School Based Health Clinic | |
|
138 Ky 718 Flat Lick KY 40935 | |
| (606) 542-4274 | |
| Not Available |
| Full Name | Dewitt Elementary School Based Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 138 Ky 718, Flat Lick, Kentucky |
| Authorized Official Name and Position | Chad Stevens (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6065269005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dewitt Elementary School Based Health Clinic 1019 Cumberland Falls Hwy Ste B201 Corbin KY 40701-2793 Ph: (606) 526-9005 | Dewitt Elementary School Based Health Clinic 138 Ky 718 Flat Lick KY 40935 Ph: (606) 542-4274 |
| NPI Number | 1346755816 |
|---|---|
| Provider Enumeration Date | 12/06/2017 |
| Last Update Date | 06/28/2024 |
| Medicare PECOS PAC ID | 3870654064 |
|---|---|
| Medicare Enrollment ID | O20180214003000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346755816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Flat Lick Elementary School Based Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Ky 3085, Flat Lick, KY 40935 Phone: 606-543-4712 |