| Goblecare Clinic Inc | |
|
9405 Us Highway 23 S Ste 1 Stanville KY 41659-9048 | |
| (606) 478-5500 | |
| (606) 478-5501 |
| Full Name | Goblecare Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9405 Us Highway 23 S Ste 1, Stanville, Kentucky |
| Authorized Official Name and Position | Tonya Goble (APRN) |
| Authorized Official Contact | 6064785500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Goblecare Clinic Inc 9405 Us Highway 23 S Ste 1 Stanville KY 41659-9048 Ph: (606) 478-5500 | Goblecare Clinic Inc 9405 Us Highway 23 S Ste 1 Stanville KY 41659-9048 Ph: (606) 478-5500 |
| NPI Number | 1881262129 |
|---|---|
| Provider Enumeration Date | 06/14/2021 |
| Last Update Date | 07/29/2021 |
| Medicare PECOS PAC ID | 8729483482 |
|---|---|
| Medicare Enrollment ID | O20210819000633 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881262129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Tonya D Goble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033681010 PECOS PAC ID: 1355678228 Enrollment ID: I20190815000671 |
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