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110 W John Rowan Blvd Bardstown KY 40004-2663 | |
(606) 716-6017 | |
(606) 261-2074 |
Full Name | |
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Speciality | Clinic/Center |
Location | 110 W John Rowan Blvd, Bardstown, Kentucky |
Authorized Official Name and Position | Christy Littlejohn (SR MANAGER) |
Authorized Official Contact | 9312531110 |
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 681029 Franklin TN 37068-1029 Ph: (931) 253-1110 | 110 W John Rowan Blvd Bardstown KY 40004-2663 Ph: (606) 716-6017 |
NPI Number | 1366003550 |
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Provider Enumeration Date | 06/27/2019 |
Last Update Date | 01/16/2025 |
Medicare PECOS PAC ID | 9830354638 |
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Medicare Enrollment ID | O20221028002704 |
Identifier | Type | State | Issuer |
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1366003550 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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