| Henry County Medical Center Psc | |
|
15 So Main St. New Castle KY 40050 | |
| (502) 845-7550 | |
| (502) 845-5551 |
| Full Name | Henry County Medical Center Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 15 So Main St., New Castle, Kentucky |
| Authorized Official Name and Position | Ronald M Koff (OWNER) |
| Authorized Official Contact | 5028450369 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Henry County Medical Center Psc 15 South Main Street Box 189 New Castle KY 40050-0189 Ph: (502) 845-7550 | Henry County Medical Center Psc 15 So Main St. New Castle KY 40050 Ph: (502) 845-7550 |
| NPI Number | 1952401218 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 12/02/2014 |
| Medicare PECOS PAC ID | 2860451853 |
|---|---|
| Medicare Enrollment ID | O20041006000842 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952401218 | NPI | - | NPPES |
| 65910200 | Medicaid | KY | |
| 000000047168 | Other | KY | ANTHEM |
| 1059181 | Other | KY | PASSPORT ADV. 2434065001 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ronald M Koff |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1326136789 PECOS PAC ID: 6901865872 Enrollment ID: I20071201000186 |
| Provider Name | Steven D White |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1053507004 PECOS PAC ID: 6406918861 Enrollment ID: I20081218000200 |
| Provider Name | Samyuktha Kemparajurs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902347313 PECOS PAC ID: 4284984030 Enrollment ID: I20181101001354 |