John M Hall, M.d. Psc | |
218 N Court St Scottsville KY 42164-1434 | |
(270) 237-3351 | |
(270) 237-9091 |
Full Name | John M Hall, M.d. Psc |
---|---|
Speciality | Family Medicine |
Location | 218 N Court St, Scottsville, Kentucky |
Authorized Official Name and Position | John M Hall (OWNER) |
Authorized Official Contact | 2702373351 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
John M Hall, M.d. Psc Po Box 2560 Bowling Green KY 42102-2560 Ph: (270) 745-1467 | John M Hall, M.d. Psc 218 N Court St Scottsville KY 42164-1434 Ph: (270) 237-3351 |
NPI Number | 1922265487 |
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Provider Enumeration Date | 05/21/2008 |
Last Update Date | 10/13/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922265487 | NPI | - | NPPES |
65911836 | Medicaid | KY | |
000000047524 | Other | KY | BLUE PREFERRED |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Agape Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1732 Old Gallatin Rd, Scottsville, KY 42164 Phone: 270-239-1400 Fax: 270-239-1402 | |