| Maguet Medical Center Llc | |
|
40 Moonbow Plz Ste 1 Corbin KY 40701-8983 | |
| (606) 215-3488 | |
| (606) 280-4015 |
| Full Name | Maguet Medical Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 40 Moonbow Plz Ste 1, Corbin, Kentucky |
| Authorized Official Name and Position | Devonna Maguet (OWNER) |
| Authorized Official Contact | 6062153488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maguet Medical Center Llc 40 Moonbow Plz Ste 1 Corbin KY 40701-8983 Ph: (606) 215-3488 | Maguet Medical Center Llc 40 Moonbow Plz Ste 1 Corbin KY 40701-8983 Ph: (606) 215-3488 |
| NPI Number | 1164158937 |
|---|---|
| Provider Enumeration Date | 07/25/2022 |
| Last Update Date | 01/24/2024 |
| Medicare PECOS PAC ID | 2961886189 |
|---|---|
| Medicare Enrollment ID | O20220907000631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164158937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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