Fountain Run Rural Health Clinic | |
47 Akersville Road Fountain Run KY 42133-7910 | |
(270) 434-4857 | |
(270) 434-4957 |
Full Name | Fountain Run Rural Health Clinic |
---|---|
Speciality | Clinic/Center |
Location | 47 Akersville Road, Fountain Run, Kentucky |
Authorized Official Name and Position | Michele W Lawless (EXECUTIVE VICE PRESIDENT/CFO) |
Authorized Official Contact | 2707451500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Fountain Run Rural Health Clinic Po Box 3560 Bowling Green KY 42102-3560 Ph: (270) 434-4857 | Fountain Run Rural Health Clinic 47 Akersville Road Fountain Run KY 42133-7910 Ph: (270) 434-4857 |
NPI Number | 1013234863 |
---|---|
Provider Enumeration Date | 05/03/2010 |
Last Update Date | 01/10/2023 |
Medicare PECOS PAC ID | 7719899947 |
---|---|
Medicare Enrollment ID | O20110411000490 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013234863 | NPI | - | NPPES |
7100154270 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 900080 (Kentucky) | Primary |