| |
202 Plummer Street Campton KY 41301-7879 | |
(606) 668-7385 | |
(606) 668-7009 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 202 Plummer Street, Campton, Kentucky |
Authorized Official Name and Position | Karen S Ditsch (CEO) |
Authorized Official Contact | 6064640151 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 690 Beattyville KY 41311-0690 Ph: (606) 464-0151 | 202 Plummer Street Campton KY 41301-7879 Ph: (606) 668-7385 |
NPI Number | 1962823393 |
---|---|
Provider Enumeration Date | 01/03/2014 |
Last Update Date | 01/15/2020 |
Medicare PECOS PAC ID | 2961453618 |
---|---|
Medicare Enrollment ID | O20140721002538 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962823393 | NPI | - | NPPES |
181919 | Other | KY | MEDICARE FQHC PTAN |
31000862 | Medicaid | KY | |
9521 | Other | KY | MEDICARE PART B |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700132A (Kentucky) | Primary |
Appalachian Wellness Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 592 Ky 15 S Ste 1-2, Campton, KY 41301 Phone: 606-668-9178 Fax: 877-203-3485 | |
United Clinics Of Kentucky Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 239 Mountain Parkway Spur, Campton, KY 41301 Phone: 606-668-6932 | |