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125 S 20th St Paducah KY 42001-7100 | |
(270) 408-1584 | |
(270) 408-1585 |
Full Name | |
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Speciality | Clinic/Center |
Location | 125 S 20th St, Paducah, Kentucky |
Authorized Official Name and Position | Steven Collier (CEO) |
Authorized Official Contact | 8703472534 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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117 S 2nd St Po Box 497 Augusta AR 72006-2309 Ph: (870) 347-2534 | 125 S 20th St Paducah KY 42001-7100 Ph: (270) 408-1584 |
NPI Number | 1326486473 |
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Provider Enumeration Date | 06/11/2013 |
Last Update Date | 01/20/2021 |
Medicare PECOS PAC ID | 2567370620 |
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Medicare Enrollment ID | O20131004000017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326486473 | NPI | - | NPPES |
7100274560 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Jeffrey L. Riney M.d. & Associates Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 225 Medical Center Dr, Suite 209b, Paducah, KY 42003 Phone: 270-441-4610 Fax: 270-441-4608 | |
Mercy Health Physicians Kentucky Specialty Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 Medical Center Dr Ste 202, Paducah, KY 42003 Phone: 270-441-4510 Fax: 270-441-4512 | |
Western Baptist Medical Ventures, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Kentucky Ave, Paducah, KY 42003 Phone: 270-575-2101 Fax: 270-575-2905 | |
Infectious Diseases Associates Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1903 Broadway St, Paducah, KY 42001 Phone: 270-444-9889 Fax: 270-444-9291 | |