| Mercy Health Powell County Primary Care | |
|
749 Irvine Rd Clay City KY 40312-9732 | |
| (606) 663-2153 | |
| (606) 663-7966 |
| Full Name | Mercy Health Powell County Primary Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 749 Irvine Rd, Clay City, Kentucky |
| Authorized Official Name and Position | Trena Lynn Stocker (PRESIDENT) |
| Authorized Official Contact | 8597790148 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Health Powell County Primary Care Po Box 636493 Cincinnati OH 45263-6493 Ph: (513) 981-5098 | Mercy Health Powell County Primary Care 749 Irvine Rd Clay City KY 40312-9732 Ph: (606) 663-2153 |
| NPI Number | 1386921948 |
|---|---|
| Provider Enumeration Date | 11/10/2011 |
| Last Update Date | 05/02/2019 |
| Medicare PECOS PAC ID | 2466592688 |
|---|---|
| Medicare Enrollment ID | O20120924000273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386921948 | NPI | - | NPPES |
| 7100233000 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 900249 (Kentucky) | Primary |
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