| Homeplace Clinic Prestonsburg | |
|
104 S Front Ave Prestonsburg KY 41653-1614 | |
| (606) 886-8572 | |
| (606) 886-4433 |
| Full Name | Homeplace Clinic Prestonsburg |
|---|---|
| Speciality | Clinic/Center |
| Location | 104 S Front Ave, Prestonsburg, Kentucky |
| Authorized Official Name and Position | Roxann Cordial (CREDENTIALING) |
| 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 Prestonsburg 104 S Front Ave Prestonsburg KY 41653-1614 Ph: (606) 886-8572 | Homeplace Clinic Prestonsburg 104 S Front Ave Prestonsburg KY 41653-1614 Ph: (606) 886-8572 |
| NPI Number | 1023517679 |
|---|---|
| Provider Enumeration Date | 02/09/2018 |
| Last Update Date | 02/13/2018 |
| Medicare PECOS PAC ID | 5294720553 |
|---|---|
| Medicare Enrollment ID | O20180828002631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023517679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700264 (Kentucky) | Primary |
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Ayesha M Sikder Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5230 Ky Route 321, Suite # 4, Prestonsburg, KY 41653 Phone: 606-886-8880 Fax: 606-886-8628 | |
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Highlands Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Ky Route 321, Prestonsburg, KY 41653 Phone: 606-886-7600 Fax: 606-886-2218 | |
Arh Medical And Specialty Associates - Prestonsburg Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4851 Kentucky Highway 321, Prestonsburg, KY 41653 Phone: 606-886-3831 Fax: 606-886-3440 | |
Compassion Adult Medical Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 N Lake Dr, Prestonsburg, KY 41653 Phone: 606-886-8466 |