Family Health Care Clinic Psc | |
312 Jason Dr Suite 9 Richmond KY 40475-2785 | |
(859) 626-9696 | |
Not Available |
Full Name | Family Health Care Clinic Psc |
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Speciality | Clinic/Center |
Location | 312 Jason Dr, Richmond, Kentucky |
Authorized Official Name and Position | Kay Stephens (OWNER) |
Authorized Official Contact | 8596269696 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Health Care Clinic Psc Po Box 35 Richmond KY 40476-0035 Ph: (859) 626-9696 | Family Health Care Clinic Psc 312 Jason Dr Suite 9 Richmond KY 40475-2785 Ph: (859) 626-9696 |
NPI Number | 1073717286 |
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Provider Enumeration Date | 06/12/2007 |
Last Update Date | 07/16/2014 |
Medicare PECOS PAC ID | 7214927268 |
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Medicare Enrollment ID | O20040513000364 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073717286 | NPI | - | NPPES |
35001890 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 900186 (Kentucky) | Primary |
363LF0000X | Nurse Practitioner - Family | 3002572 (Kentucky) | Secondary |
Provider Name | Jessica M Brock |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295148914 PECOS PAC ID: 2961622600 Enrollment ID: I20141001001762 |
Provider Name | Loryn Elizabeth Cheek |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235816810 PECOS PAC ID: 6002277985 Enrollment ID: I20230726000641 |
Provider Name | Destiny Grove |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053159749 PECOS PAC ID: 4284169442 Enrollment ID: I20241125001541 |
The Family Practice Of Dr. George M. Pittman Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3190 Irvine Rd, Richmond, KY 40475 Phone: 859-369-0070 Fax: 859-369-0073 | |
Madison Healthcare Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 519 Hampton Way Ste 7, Richmond, KY 40475 Phone: 502-529-9062 | |