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110 S Salem Dr Bardstown KY 40004-1761 | |
(502) 348-3400 | |
(502) 350-5022 |
Full Name | |
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Speciality | Internal Medicine |
Location | 110 S Salem Dr, Bardstown, Kentucky |
Authorized Official Name and Position | John C Bradford (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 5023505000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1160 Bardstown KY 40004-4160 Ph: (502) 348-3400 | 110 S Salem Dr Bardstown KY 40004-1761 Ph: (502) 348-3400 |
NPI Number | 1871655985 |
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Provider Enumeration Date | 12/14/2006 |
Last Update Date | 06/25/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871655985 | NPI | - | NPPES |
35000645 | Medicaid | KY | |
50018276 | Other | KY | PASSPORT HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1345 Templin Ave, Bardstown, KY 40004 Phone: 844-435-0900 Fax: 270-858-4029 | |
Fast Pace Kentucky, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1095 Morton Ave, Bardstown, KY 40004 Phone: 502-601-0107 | |
Bardstown Internal Medicine, Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 810 Morton Ave Ste 202, Bardstown, KY 40004 Phone: 502-348-1990 Fax: 502-348-1954 | |