| Pineville Independent School | |
|
401 W Virginia Ave Pineville KY 40977-1321 | |
| (606) 337-5701 | |
| (606) 337-9983 |
| Full Name | Pineville Independent School |
|---|---|
| Speciality | Clinic/Center |
| Location | 401 W Virginia Ave, Pineville, Kentucky |
| Authorized Official Name and Position | Chad Stevens (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6065269005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pineville Independent School 1019 Cumberland Falls Hwy Ste B201 Corbin KY 40701-2793 Ph: (606) 526-9005 | Pineville Independent School 401 W Virginia Ave Pineville KY 40977-1321 Ph: (606) 337-5701 |
| NPI Number | 1740918721 |
|---|---|
| Provider Enumeration Date | 08/09/2022 |
| Last Update Date | 06/28/2024 |
| Medicare PECOS PAC ID | 3870654064 |
|---|---|
| Medicare Enrollment ID | O20230303000608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740918721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Southeast Family Practice Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 222 W Tennessee Ave, Pineville, KY 40977 Phone: 606-499-5135 | |
Pineville Community Hospital Association, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 W Virginia Ave, Pineville, KY 40977 Phone: 606-337-2381 | |
Total Care Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 850 Riverview Ave, Pineville, KY 40977 Phone: 606-654-4775 Fax: 606-654-2613 | |
Memorial Hospital Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12904 Robert L Madon Byp Ste 2, Pineville, KY 40977 Phone: 606-598-4508 Fax: 606-712-1200 | |
Southeastern Ky Total Care Rhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 W Virginia Ave, Pineville, KY 40977 Phone: 606-337-3051 Fax: 606-337-2871 | |
Pine Mountain Clinic Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 850 Riverview Rd, Pineville, KY 40977 Phone: 606-337-6047 Fax: 606-337-0925 | |
Jerry L. Woolum, M.d., P.s.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Virginia Avenue, Suite F200, Pineville, KY 40977 Phone: 606-337-0860 Fax: 606-337-9956 |