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2003 S 7th St Hickman KY 42050-1841 | |
(270) 236-3202 | |
(270) 236-9597 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 2003 S 7th St, Hickman, Kentucky |
Authorized Official Name and Position | Laurie Holtsford (AUTH OFF / DIR BUSINESS OF FICE SUP) |
Authorized Official Contact | 6154657466 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 60985 Saint Louis MO 63160-0985 Ph: (270) 236-3202 | 2003 S 7th St Hickman KY 42050-1841 Ph: (270) 236-3202 |
NPI Number | 1245208875 |
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Provider Enumeration Date | 03/09/2006 |
Last Update Date | 10/19/2010 |
Identifier | Type | State | Issuer |
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1245208875 | NPI | - | NPPES |
35001387 | Medicaid | KY | |
295172 | Other | KY | BCBS |