| East Ky Health Service Center | |
|
566 Highway 899 # 849 Hindman KY 41822-8955 | |
| (606) 785-3164 | |
| (606) 785-0107 |
| Full Name | East Ky Health Service Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 566 Highway 899 # 849, Hindman, Kentucky |
| Authorized Official Name and Position | Benny Ray Bailey (EXECUTIVE DIR / CEO) |
| Authorized Official Contact | 6067853164 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Ky Health Service Center Po Box 849 Hindman KY 41822-0849 Ph: (606) 785-3164 | East Ky Health Service Center 566 Highway 899 # 849 Hindman KY 41822-8955 Ph: (606) 785-3164 |
| NPI Number | 1538736129 |
|---|---|
| Provider Enumeration Date | 06/10/2021 |
| Last Update Date | 12/09/2022 |
| Medicare PECOS PAC ID | 6901844711 |
|---|---|
| Medicare Enrollment ID | O20141124001774 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538736129 | NPI | - | NPPES |
| 7100798320 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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