|
| |
|
300 W John Fitch Ave Suite 210 Bardstown KY 40004-1150 | |
| (502) 348-7648 | |
| (502) 348-7490 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 300 W John Fitch Ave, Bardstown, Kentucky |
| Authorized Official Name and Position | Carmel Jones (COO/VP FINANCE) |
| Authorized Official Contact | 6063306015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 73652 Cleveland OH 44193-0002 Ph: (859) 313-2758 | 300 W John Fitch Ave Suite 210 Bardstown KY 40004-1150 Ph: (502) 348-7648 |
| NPI Number | 1063705051 |
|---|---|
| Provider Enumeration Date | 05/24/2011 |
| Last Update Date | 08/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063705051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (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 | |