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3470 Highway 80 W Emmalena KY 41740-8854 | |
(800) 575-7223 | |
(606) 436-5797 |
Full Name | |
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Speciality | Clinic/Center |
Location | 3470 Highway 80 W, Emmalena, Kentucky |
Authorized Official Name and Position | Marcia Adams (CFO) |
Authorized Official Contact | 8005757223 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3470 West Highway 80 Emmalena KY 41740 Ph: (606) 785-9377 | 3470 Highway 80 W Emmalena KY 41740-8854 Ph: (800) 575-7223 |
NPI Number | 1053715706 |
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Provider Enumeration Date | 10/09/2014 |
Last Update Date | 07/31/2024 |
Medicare PECOS PAC ID | 8325362262 |
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Medicare Enrollment ID | O20150123000812 |
Identifier | Type | State | Issuer |
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1053715706 | NPI | - | NPPES |