Hometown Clinic | |
22055 Main Street Ste 101 Hyden KY 41749 | |
(606) 672-7425 | |
(606) 672-3077 |
Full Name | Hometown Clinic |
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Speciality | Physician Assistant |
Location | 22055 Main Street, Hyden, Kentucky |
Authorized Official Name and Position | Robert C. Hoskins (OWNER/PHYSICIAN) |
Authorized Official Contact | 6068627000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hometown Clinic Po Box 2158 London KY 40743-2158 Ph: (606) 862-7000 | Hometown Clinic 22055 Main Street Ste 101 Hyden KY 41749 Ph: (606) 672-7425 |
NPI Number | 1558372771 |
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Provider Enumeration Date | 08/11/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 5395655583 |
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Medicare Enrollment ID | O20030611000005 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558372771 | NPI | - | NPPES |
35-001742 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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