| Jo-ann N. Bolli, M. D., P.s.c. | |
|
308 S Washington St Suite 201 Clinton KY 42031-1340 | |
| (270) 653-4070 | |
| (270) 653-4007 |
| Full Name | Jo-ann N. Bolli, M. D., P.s.c. |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 308 S Washington St, Clinton, Kentucky |
| Authorized Official Name and Position | Jo-ann Nadeau Bolli (OWNER) |
| Authorized Official Contact | 2706534070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jo-ann N. Bolli, M. D., P.s.c. 308 S Washington St Ste 201 P. O. Box 123 Clinton KY 42031-1347 Ph: (270) 653-4070 | Jo-ann N. Bolli, M. D., P.s.c. 308 S Washington St Suite 201 Clinton KY 42031-1340 Ph: (270) 653-4070 |
| NPI Number | 1003153321 |
|---|---|
| Provider Enumeration Date | 01/07/2013 |
| Last Update Date | 01/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003153321 | NPI | - | NPPES |
| 64287899 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 28789 (Kentucky) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | 28789 (Kentucky) | Primary |
Clinton Hickman Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 W Clay St, Clinton, KY 42031 Phone: 270-653-6277 Fax: 270-653-4097 | |
Clinton-hickman County Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 351 Moss Dr, Clinton, KY 42031 Phone: 270-653-6277 | |
Jackson Purchase Primary Care - Clinton Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 106 W Clay St, Clinton, KY 42031 Phone: 270-653-0220 Fax: 270-653-0221 | |
Arcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 308 S Washington St Ste 200, Clinton, KY 42031 Phone: 270-913-2478 Fax: 270-913-2479 | |
Communtiy Healthcare Of Western Kentucky Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 South Washington Street Suite 200, Clinton, KY 42031 Phone: 270-653-0220 Fax: 270-653-0221 |