| Hazard Family Medical Clinic | |
|
625 Memorial Dr Ste 1 Hazard KY 41701-1380 | |
| (606) 435-0001 | |
| (606) 435-0058 |
| Full Name | Hazard Family Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 625 Memorial Dr Ste 1, Hazard, Kentucky |
| Authorized Official Name and Position | Jonathan S Helton (OWNER) |
| Authorized Official Contact | 6062338140 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hazard Family Medical Clinic 625 Memorial Drive Suite 1 Hazard KY 41701-1511 Ph: (606) 435-0001 | Hazard Family Medical Clinic 625 Memorial Dr Ste 1 Hazard KY 41701-1380 Ph: (606) 435-0001 |
| NPI Number | 1023527678 |
|---|---|
| Provider Enumeration Date | 09/27/2017 |
| Last Update Date | 03/07/2023 |
| Medicare PECOS PAC ID | 7012283450 |
|---|---|
| Medicare Enrollment ID | O20171030001952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023527678 | NPI | - | NPPES |
| 7100200180 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3007238 (Kentucky) | Primary |
| Provider Name | Jonathan Scott Helton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750658621 PECOS PAC ID: 4981863644 Enrollment ID: I20120315000598 |
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