| Faith Dental Of Russell Springs | |
|
458 Main St Russell Springs KY 42642-4356 | |
| (606) 388-9019 | |
| Not Available |
| Full Name | Faith Dental Of Russell Springs |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 458 Main St, Russell Springs, Kentucky |
| Authorized Official Name and Position | Logan Roy Antle (CEO) |
| Authorized Official Contact | 6064255768 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith Dental Of Russell Springs 521 Crane Rd Somerset KY 42501-9503 Ph: (606) 425-5768 | Faith Dental Of Russell Springs 458 Main St Russell Springs KY 42642-4356 Ph: (606) 388-9019 |
| NPI Number | 1912777822 |
|---|---|
| Provider Enumeration Date | 01/03/2024 |
| Last Update Date | 01/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912777822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Russell County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 124 Dowell Rd, Russell Springs, KY 42642 Phone: 270-866-4141 | |
Russell County Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 Joe T Petty Dr, Russell Springs, KY 42642 Phone: 270-866-7771 Fax: 270-866-7774 | |
Redd Road Enterprises, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9321 Ky 80-east, Russell Springs, KY 42728 Phone: 270-385-9208 Fax: 270-385-9209 | |
Lily Creek Medical Group, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 92 Joe T Petty Dr, Russell Springs, KY 42642 Phone: 270-866-8881 Fax: 270-866-8849 | |
Primary Care Associates Of Russell County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 92 Joe T Petty Dr, Russell Springs, KY 42642 Phone: 270-866-9359 | |
John Kilgallin M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Dowell Rd, Russell Springs, KY 42642 Phone: 270-866-3161 Fax: 270-866-3163 | |
Russell County High School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2166 S Highway 127, Russell Springs, KY 42642 Phone: 270-866-3341 Fax: 270-864-1693 |