| Girdler Elementary School Based Health Clinic | |
|
5452 N Ky 11 Girdler KY 40943 | |
| (606) 546-4859 | |
| Not Available |
| Full Name | Girdler Elementary School Based Health Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5452 N Ky 11, Girdler, Kentucky |
| Authorized Official Name and Position | Chad Stevens (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6065269005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Girdler Elementary School Based Health Clinic 1019 Cumberland Falls Hwy Ste B201 Corbin KY 40701-2793 Ph: (606) 526-9005 | Girdler Elementary School Based Health Clinic 5452 N Ky 11 Girdler KY 40943 Ph: (606) 546-4859 |
| NPI Number | 1407361967 |
|---|---|
| Provider Enumeration Date | 12/06/2017 |
| Last Update Date | 06/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407361967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |