Frederick Medical Clinic Psc | |
430 Liberty Rd West Liberty KY 41472-2049 | |
(606) 743-3114 | |
(606) 743-1404 |
Full Name | Frederick Medical Clinic Psc |
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Speciality | Clinic/Center |
Location | 430 Liberty Rd, West Liberty, Kentucky |
Authorized Official Name and Position | James Denzil Frederick (ADMINISTRATION MEDICAL DIRECTOR) |
Authorized Official Contact | 6067433114 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Frederick Medical Clinic Psc Po Box 607 West Liberty KY 41472-0607 Ph: (606) 743-3114 | Frederick Medical Clinic Psc 430 Liberty Rd West Liberty KY 41472-2049 Ph: (606) 743-3114 |
NPI Number | 1194829812 |
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Provider Enumeration Date | 09/12/2006 |
Last Update Date | 12/12/2024 |
Medicare PECOS PAC ID | 6608055272 |
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Medicare Enrollment ID | O20110128000062 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194829812 | NPI | - | NPPES |
35002013 | Medicaid | KY | |
7100150550 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 183940 (Kentucky) | Primary |
Provider Name | Brittany Engle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851844518 PECOS PAC ID: 9830486349 Enrollment ID: I20160927003195 |
Faith Family Practice Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 N. Main Str., West Liberty, KY 41472 Phone: 606-743-1422 Fax: 606-743-3044 | |
United Clinics Of Kentucky Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 633 Prestonsburg St, West Liberty, KY 41472 Phone: 606-743-3477 | |