| Homeplace Clinic Dorton | |
|
29 Cabin Fork Jenkins KY 41537 | |
| (606) 886-8572 | |
| (606) 886-4433 |
| Full Name | Homeplace Clinic Dorton |
|---|---|
| Speciality | Clinic/Center |
| Location | 29 Cabin Fork, Jenkins, Kentucky |
| Authorized Official Name and Position | Roxann Cordial (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 6068868572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Homeplace Clinic Dorton 104 S Front Ave Prestonsburg KY 41653-1614 Ph: (606) 886-8572 | Homeplace Clinic Dorton 29 Cabin Fork Jenkins KY 41537 Ph: (606) 886-8572 |
| NPI Number | 1184298580 |
|---|---|
| Provider Enumeration Date | 05/19/2021 |
| Last Update Date | 10/21/2022 |
| Medicare PECOS PAC ID | 5294720553 |
|---|---|
| Medicare Enrollment ID | O20220110001895 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184298580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Pikeville Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9428 Highway 805, Jenkins, KY 41537 Phone: 606-832-0023 Fax: 606-832-0024 | |
Jenkins Healthcare Company Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9480 Highway 805, Jenkins, KY 41537 Phone: 606-832-2171 Fax: 606-832-2943 | |
Against All Odds Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 853 Lakeside Dr, Jenkins, KY 41537 Phone: 606-832-0023 | |
Jenkins Family Care Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9480 Highway 805, Jenkins, KY 41537 Phone: 606-832-2171 Fax: 606-832-2943 | |
Kolesnikov Pediatrics Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Ponderosa Dr, Jenkins, KY 41537 Phone: 980-565-9500 | |
Jenkins Family Clinic, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 853 Lakeside Drive, Jenkins, KY 41537 Phone: 606-832-0023 Fax: 606-832-0054 |