| Hart County High Healthy Kids Clinic | |
|
1014 South Dixie Highway Munfordville KY 42765-9234 | |
| (270) 524-9341 | |
| Not Available |
| Full Name | Hart County High Healthy Kids Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1014 South Dixie Highway, Munfordville, Kentucky |
| Authorized Official Name and Position | Eric E Loy (CEO) |
| Authorized Official Contact | 2708586655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hart County High Healthy Kids Clinic Po Box 1080 Burkesville KY 42717-1080 Ph: (270) 858-6655 | Hart County High Healthy Kids Clinic 1014 South Dixie Highway Munfordville KY 42765-9234 Ph: (270) 524-9341 |
| NPI Number | 1326760471 |
|---|---|
| Provider Enumeration Date | 09/15/2022 |
| Last Update Date | 09/15/2022 |
| Medicare PECOS PAC ID | 6305947789 |
|---|---|
| Medicare Enrollment ID | O20230410001023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326760471 | NPI | - | NPPES |
| 7100017280 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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