Leitchfield Primary Care Pllc | |
8885 State Road 237 Tell City IN 47586-8567 | |
(812) 547-7011 | |
Not Available |
Full Name | Leitchfield Primary Care Pllc |
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Speciality | Family Medicine |
Location | 8885 State Road 237, Tell City, Indiana |
Authorized Official Name and Position | Andrew W Jenkins (SOLE MEMBER) |
Authorized Official Contact | 2707449600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Leitchfield Primary Care Pllc Po Box 9150 Paducah KY 42002-9150 Ph: (270) 744-9600 | Leitchfield Primary Care Pllc 8885 State Road 237 Tell City IN 47586-8567 Ph: (812) 547-7011 |
NPI Number | 1508117334 |
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Provider Enumeration Date | 09/19/2012 |
Last Update Date | 08/08/2023 |
Medicare PECOS PAC ID | 7012152648 |
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Medicare Enrollment ID | O20130401000505 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508117334 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Provider Name | Andrew Jenkins |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144491598 PECOS PAC ID: 6507052297 Enrollment ID: I20110901000216 |
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