| Grace Mountain Medical, Llc | |
|
338 Ky Rt 550 Eastern KY 41622 | |
| (606) 226-8677 | |
| Not Available |
| Full Name | Grace Mountain Medical, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 338 Ky Rt 550, Eastern, Kentucky |
| Authorized Official Name and Position | Tonya Renee Shepherd Hatfield (CO-OWNER) |
| Authorized Official Contact | 6062268677 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Mountain Medical, Llc 338 Ky Rt 550 Eastern KY 41622 Ph: (606) 226-8677 | Grace Mountain Medical, Llc 338 Ky Rt 550 Eastern KY 41622 Ph: (606) 226-8677 |
| NPI Number | 1821645896 |
|---|---|
| Provider Enumeration Date | 08/23/2019 |
| Last Update Date | 09/27/2019 |
| Medicare PECOS PAC ID | 5597190538 |
|---|---|
| Medicare Enrollment ID | O20200121000983 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821645896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Ovp Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 338 Ky Route 550, Eastern, KY 41622 Phone: 606-226-8677 Fax: 606-949-1220 | |
Ohio Valley Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 338 Ky Route 550, Eastern, KY 41622 Phone: 606-949-1220 | |
Big Sandy Health Care, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 183 Rebel Rd, Eastern, KY 41622 Phone: 606-263-6500 Fax: 886-927-9488 |