| Morehead Pediatrics | |
|
130 Newtowne Sq Morehead KY 40351-2406 | |
| (606) 740-0986 | |
| (606) 780-9096 |
| Full Name | Morehead Pediatrics |
|---|---|
| Speciality | Clinic/Center |
| Location | 130 Newtowne Sq, Morehead, Kentucky |
| Authorized Official Name and Position | Dennis Fouch (COO) |
| Authorized Official Contact | 8594985243 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Morehead Pediatrics 130 Newtowne Sq Morehead KY 40351-2406 Ph: (606) 740-0986 | Morehead Pediatrics 130 Newtowne Sq Morehead KY 40351-2406 Ph: (606) 740-0986 |
| NPI Number | 1710688809 |
|---|---|
| Provider Enumeration Date | 03/15/2023 |
| Last Update Date | 06/13/2024 |
| Medicare PECOS PAC ID | 1456714260 |
|---|---|
| Medicare Enrollment ID | O20230828000693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710688809 | NPI | - | NPPES |
| 7100979520 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Morehead Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 New Towne Square, Morehead, KY 40351 Phone: 606-740-0986 Fax: 606-780-9096 | |
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