| |
104 S Front Ave Prestonsburg KY 41653-1614 | |
(606) 886-8572 | |
(606) 886-4433 |
Full Name | |
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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 |
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104 S Front Ave Prestonsburg KY 41653-1614 Ph: (606) 886-8572 | 104 S Front Ave Prestonsburg KY 41653-1614 Ph: (606) 886-8572 |
NPI Number | 1023517679 |
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Provider Enumeration Date | 02/09/2018 |
Last Update Date | 02/13/2018 |
Medicare PECOS PAC ID | 5294720553 |
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Medicare Enrollment ID | O20180828002631 |
Identifier | Type | State | Issuer |
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1023517679 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700264 (Kentucky) | Primary |
Prestonsburg Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Regency Park, Prestonsburg, KY 41653 Phone: 606-886-3077 Fax: 606-886-3078 | |
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 | |
Blake R Burchett Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 N Lake Dr, Prestonsburg, KY 41653 Phone: 606-886-8466 Fax: 606-886-0250 | |
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 |