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404 Euclid Ave Paintsville KY 41240-1167 | |
(606) 889-1602 | |
(606) 263-4467 |
Full Name | |
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Speciality | Clinic/Center |
Location | 404 Euclid Ave, Paintsville, Kentucky |
Authorized Official Name and Position | Melissa Ashworth (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 3044291088 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 390 Huntington WV 25708-0390 Ph: (304) 429-1088 | 404 Euclid Ave Paintsville KY 41240-1167 Ph: (606) 889-1602 |
NPI Number | 1689091266 |
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Provider Enumeration Date | 03/21/2014 |
Last Update Date | 11/29/2023 |
Medicare PECOS PAC ID | 8729032966 |
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Medicare Enrollment ID | O20200807000594 |
Identifier | Type | State | Issuer |
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1689091266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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Luminosity Integrated Rejuvenation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 503 Depot Road, Paintsville, KY 41240 Phone: 606-793-5077 | |
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