| Horizon Headache Center, Pllc | |
|
2365 Harrodsburg Road Suite B-100 Lexington KY 40504 | |
| (859) 263-2222 | |
| (859) 263-0020 |
| Full Name | Horizon Headache Center, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2365 Harrodsburg Road, Lexington, Kentucky |
| Authorized Official Name and Position | Atitaya Trimble (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8592292703 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizon Headache Center, Pllc 851 Corporate Dr Ste 110 Lexington KY 40503-5429 Ph: (859) 263-2222 | Horizon Headache Center, Pllc 2365 Harrodsburg Road Suite B-100 Lexington KY 40504 Ph: (859) 263-2222 |
| NPI Number | 1831495506 |
|---|---|
| Provider Enumeration Date | 01/28/2011 |
| Last Update Date | 12/22/2020 |
| Medicare PECOS PAC ID | 1052599834 |
|---|---|
| Medicare Enrollment ID | O20110627000187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831495506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| Provider Name | Atitaya Trimble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609995265 PECOS PAC ID: 8527120328 Enrollment ID: I20090102000044 |
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