| Family Medical Care Of Clay County | |
|
94 Marie Langdon Dr Suite 1 Manchester KY 40962-6353 | |
| (606) 598-5104 | |
| Not Available |
| Full Name | Family Medical Care Of Clay County |
|---|---|
| Speciality | Family Medicine |
| Location | 94 Marie Langdon Dr, Manchester, Kentucky |
| Authorized Official Name and Position | Benny Nolen (VICE PRESIDENT) |
| Authorized Official Contact | 6065985104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Care Of Clay County 509 Memorial Drive Suite 2 Manchester KY 40962-6195 Ph: (606) 598-5104 | Family Medical Care Of Clay County 94 Marie Langdon Dr Suite 1 Manchester KY 40962-6353 Ph: (606) 598-5104 |
| NPI Number | 1609040179 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 01/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609040179 | NPI | - | NPPES |
| 31001134 | Medicaid | KY | |
| 65934523 | Medicaid | KY | |
| CC2941 | Other | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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