Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 2300 Ky-801, Morehead, Kentucky |
Authorized Official Name and Position | Jerry Ugrin (CEO) |
Authorized Official Contact | 6067963029 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 550 Vanceburg KY 41179-0550 Ph: () - | 2300 Ky-801 Morehead KY 40351 Ph: (606) 548-5550 |
NPI Number | 1215643440 |
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Provider Enumeration Date | 01/31/2023 |
Last Update Date | 04/11/2023 |
Medicare PECOS PAC ID | 1153311774 |
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Medicare Enrollment ID | O20240122002014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215643440 | NPI | - | NPPES |
31000268 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Donald E Blair Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 E Main St, Morehead, KY 40351 Phone: 606-784-8124 Fax: 606-780-4874 | |
Solid Ground Counseling And Recovery Centers Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 354 Christy Crk, Morehead, KY 40351 Phone: 606-487-0351 | |