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672 Main St West Liberty KY 41472-1018 | |
| (606) 743-3030 | |
| (606) 743-7480 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 672 Main St, West Liberty, Kentucky |
| Authorized Official Name and Position | Derrick J Hamilton (CEO) |
| Authorized Official Contact | 6064640151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 690 Beattyville KY 41311-0690 Ph: (606) 743-3030 | 672 Main St West Liberty KY 41472-1018 Ph: (606) 743-3030 |
| NPI Number | 1316422157 |
|---|---|
| Provider Enumeration Date | 09/27/2018 |
| Last Update Date | 01/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316422157 | NPI | - | NPPES |
| 31000854 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Faith Family Practice Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 N. Main Str., West Liberty, KY 41472 Phone: 606-743-1422 Fax: 606-743-3044 | |
Frederick Medical Clinic Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 430 Liberty Rd, West Liberty, KY 41472 Phone: 606-743-3114 Fax: 606-743-1404 | |
United Clinics Of Kentucky Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 633 Prestonsburg St, West Liberty, KY 41472 Phone: 606-743-3477 | |