| Martin County Rural Health Clinic Pllc | |
|
64 Kirk Plz Inez KY 41224-6501 | |
| (606) 298-2520 | |
| (606) 298-2522 |
| Full Name | Martin County Rural Health Clinic Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 64 Kirk Plz, Inez, Kentucky |
| Authorized Official Name and Position | Antoin Hana (OWNER) |
| Authorized Official Contact | 6068861173 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin County Rural Health Clinic Pllc Po Box 697 Prestonsburg KY 41653-0697 Ph: (606) 886-1173 | Martin County Rural Health Clinic Pllc 64 Kirk Plz Inez KY 41224-6501 Ph: (606) 298-2520 |
| NPI Number | 1316363112 |
|---|---|
| Provider Enumeration Date | 03/17/2014 |
| Last Update Date | 11/02/2017 |
| Medicare PECOS PAC ID | 9436372141 |
|---|---|
| Medicare Enrollment ID | O20140528000952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316363112 | NPI | - | NPPES |
| 64126055 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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