First Choice Immediate Care | |
197 Will Walker Road Columbia KY 42728 | |
(270) 384-9981 | |
(270) 384-9989 |
Full Name | First Choice Immediate Care |
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Speciality | Clinic/Center |
Location | 197 Will Walker Road, Columbia, Kentucky |
Authorized Official Name and Position | Eric E Loy (CEO) |
Authorized Official Contact | 2708586655 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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First Choice Immediate Care Po Box 1080 360 Keen Street Burkesville KY 42717-1080 Ph: (270) 858-6655 | First Choice Immediate Care 197 Will Walker Road Columbia KY 42728 Ph: (270) 384-9981 |
NPI Number | 1073029047 |
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Provider Enumeration Date | 12/28/2017 |
Last Update Date | 12/28/2017 |
Medicare PECOS PAC ID | 6305947789 |
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Medicare Enrollment ID | O20180816000189 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073029047 | NPI | - | NPPES |
7100017280 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700172 (Kentucky) | Primary |
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