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250 Main St Suite E Cadiz KY 42211-9153 | |
(270) 522-6963 | |
(270) 522-7231 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 250 Main St, Cadiz, Kentucky |
Authorized Official Name and Position | Shea A Godwin (OWNER) |
Authorized Official Contact | 2705226963 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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250 Main St Suite E Cadiz KY 42211-9153 Ph: (270) 522-6963 | 250 Main St Suite E Cadiz KY 42211-9153 Ph: (270) 522-6963 |
NPI Number | 1881852317 |
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Provider Enumeration Date | 05/31/2008 |
Last Update Date | 08/12/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881852317 | NPI | - | NPPES |
1538257910 | Other | KY | PROVIDER NPI |
1096567 | Other | KY | USA MANAGED CARE ORGANIZATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Infinity Family Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 Commerce St, Cadiz, KY 42211 Phone: 270-512-2512 | |
Maanya Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 116 Main St, Cadiz, KY 42211 Phone: 270-350-4504 | |
Cadiz Family Care Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 261 Main St, Cadiz, KY 42211 Phone: 270-522-9697 Fax: 270-522-9698 |