George Hayden Caudill, P.s.c. | |
1893 Red Fox Rd. Box 98 Red Fox KY 41847-0098 | |
(606) 642-3250 | |
(606) 642-3740 |
Full Name | George Hayden Caudill, P.s.c. |
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Speciality | Clinic/Center |
Location | 1893 Red Fox Rd., Red Fox, Kentucky |
Authorized Official Name and Position | George Hayden Caudill (PRESIDENT) |
Authorized Official Contact | 6066423250 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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George Hayden Caudill, P.s.c. 1893 Red Fox Rd. Box 98 Red Fox KY 41847-0098 Ph: (606) 642-3250 | George Hayden Caudill, P.s.c. 1893 Red Fox Rd. Box 98 Red Fox KY 41847-0098 Ph: (606) 642-3250 |
NPI Number | 1053504357 |
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Provider Enumeration Date | 08/21/2007 |
Last Update Date | 02/12/2008 |
Medicare PECOS PAC ID | 2668566886 |
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Medicare Enrollment ID | O20070919000521 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053504357 | NPI | - | NPPES |
64190663 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 19066 (Kentucky) | Primary |
363LF0000X | Nurse Practitioner - Family | 2285P (Kentucky) | Secondary |