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80 Rolling Hills Blvd Monticello KY 42633-9005 | |
(606) 343-0216 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 80 Rolling Hills Blvd, Monticello, Kentucky |
Authorized Official Name and Position | Samantha Simmons (DIRECTOR) |
Authorized Official Contact | 6063430216 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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80 Rolling Hills Blvd Monticello KY 42633-9005 Ph: (606) 343-0216 | 80 Rolling Hills Blvd Monticello KY 42633-9005 Ph: (606) 343-0216 |
NPI Number | 1306250782 |
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Provider Enumeration Date | 06/13/2014 |
Last Update Date | 10/22/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306250782 | NPI | - | NPPES |
7100317630 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |