| Fredonia Family Care | |
|
21234 Marion Rd Fredonia KY 42411-9250 | |
| (270) 545-2929 | |
| Not Available |
| Full Name | Fredonia Family Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 21234 Marion Rd, Fredonia, Kentucky |
| Authorized Official Name and Position | Darrel Morris (COO) |
| Authorized Official Contact | 9185271234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fredonia Family Care 520 W Gum St Marion KY 42064-1516 Ph: (270) 965-1042 | Fredonia Family Care 21234 Marion Rd Fredonia KY 42411-9250 Ph: (270) 545-2929 |
| NPI Number | 1841933496 |
|---|---|
| Provider Enumeration Date | 04/20/2022 |
| Last Update Date | 03/01/2023 |
| Medicare PECOS PAC ID | 8426398793 |
|---|---|
| Medicare Enrollment ID | O20220606002938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841933496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
Caldwell County Hospital Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 700 Cassidy Ave, Fredonia, KY 42411 Phone: 270-545-3386 Fax: 270-545-3712 | |
Family Practice Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Cassidy Ave, Fredonia, KY 42411 Phone: 270-545-3386 Fax: 270-545-3712 |