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210 Wall St Barbourville KY 40906-1450 | |
| (606) 546-5320 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 210 Wall St, Barbourville, Kentucky |
| Authorized Official Name and Position | Chad Stevens (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6065269005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1019 Cumberland Falls Hwy Ste B201 Corbin KY 40701-2793 Ph: (606) 526-9005 | 210 Wall St Barbourville KY 40906-1450 Ph: (606) 546-5320 |
| NPI Number | 1023523586 |
|---|---|
| Provider Enumeration Date | 12/06/2017 |
| Last Update Date | 06/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023523586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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Yahweh Medical Clinic Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Knox Plz, Barbourville, KY 40906 Phone: 631-790-2862 | |
Mdsrus Limited Liability Company Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1927 S Us Highway 25e, Barbourville, KY 40906 Phone: 606-546-7777 |