| Kentucky River Foothills Development Council, Inc. | |
|
100 Tyler Ln Irvine KY 40336-8827 | |
| (606) 531-2012 | |
| Not Available |
| Full Name | Kentucky River Foothills Development Council, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Tyler Ln, Irvine, Kentucky |
| Authorized Official Name and Position | Ruth A Woolum (PROJECT DIRECTOR) |
| Authorized Official Contact | 6066639011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentucky River Foothills Development Council, Inc. 309 Spangler Dr Richmond KY 40475-2457 Ph: (859) 624-2046 | Kentucky River Foothills Development Council, Inc. 100 Tyler Ln Irvine KY 40336-8827 Ph: (606) 531-2012 |
| NPI Number | 1346874054 |
|---|---|
| Provider Enumeration Date | 03/03/2020 |
| Last Update Date | 08/03/2020 |
| Medicare PECOS PAC ID | 6507861945 |
|---|---|
| Medicare Enrollment ID | O20201005002687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346874054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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