| Glenndale Medical Care | |
|
65 Glenndale Rd Suite 1 Manchester KY 40962-6212 | |
| (606) 599-2508 | |
| Not Available |
| Full Name | Glenndale Medical Care |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 65 Glenndale Rd, Manchester, Kentucky |
| Authorized Official Name and Position | Connie Farmer (BILLING MANAGER) |
| Authorized Official Contact | 6065985104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glenndale Medical Care 509 Memorial Dr Suite 2 Manchester KY 40962-6195 Ph: (606) 598-5104 | Glenndale Medical Care 65 Glenndale Rd Suite 1 Manchester KY 40962-6212 Ph: (606) 599-2508 |
| NPI Number | 1033510961 |
|---|---|
| Provider Enumeration Date | 09/10/2014 |
| Last Update Date | 01/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033510961 | NPI | - | NPPES |
| 31001134 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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