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308 N Ky 7 Sandy Hook KY 41171-9137 | |
(606) 738-9785 | |
(859) 317-2148 |
Full Name | |
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Speciality | Clinic/Center |
Location | 308 N Ky 7, Sandy Hook, Kentucky |
Authorized Official Name and Position | Derrick J Hamilton (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 6064640151 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 690 Beattyville KY 41311-0690 Ph: (606) 464-0151 | 308 N Ky 7 Sandy Hook KY 41171-9137 Ph: (606) 738-9785 |
NPI Number | 1669014627 |
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Provider Enumeration Date | 10/11/2019 |
Last Update Date | 02/23/2021 |
Medicare PECOS PAC ID | 2961453618 |
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Medicare Enrollment ID | O20200316002271 |
Identifier | Type | State | Issuer |
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1669014627 | NPI | - | NPPES |
31000862 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Ashland Hospital Coporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1908 N Ky 7, Sandy Hook, KY 41171 Phone: 606-738-9339 | |
St. Claire Medical Center,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 390 Ky Hwy 7 South, Sandy Hook, KY 41171 Phone: 606-738-5155 Fax: 606-738-5420 |