| Family Practice Clinic Psc | |
|
518 West Gum Street Marion KY 42064-1516 | |
| (270) 965-5238 | |
| (270) 965-9015 |
| Full Name | Family Practice Clinic Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 518 West Gum Street, Marion, Kentucky |
| Authorized Official Name and Position | Howard G Maddux (PRESIDENT) |
| Authorized Official Contact | 2709655238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Clinic Psc Po Box 559 Marion KY 42064-0559 Ph: (270) 965-5238 | Family Practice Clinic Psc 518 West Gum Street Marion KY 42064-1516 Ph: (270) 965-5238 |
| NPI Number | 1467454041 |
|---|---|
| Provider Enumeration Date | 08/12/2005 |
| Last Update Date | 02/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467454041 | NPI | - | NPPES |
| 65905770 | Medicaid | KY | |
| 78900719 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Marion Physician's Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 S Main St, Marion, KY 42064 Phone: 270-965-4377 Fax: 270-965-9569 | |
Marion Physicians Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 308 S Main St, Marion, KY 42064 Phone: 270-965-4377 Fax: 270-965-9569 | |
Livingston Hospital And Healthcare Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 S Main St, Marion, KY 42064 Phone: 270-704-4131 Fax: 270-965-2404 | |
Crittenden Community Hospital Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 518 W Gum St, Marion, KY 42064 Phone: 270-965-5238 |