| Mountain After Hours Clinic Psc | |
|
1908 N Main St Suite 120 Hazard KY 41701-2505 | |
| (606) 439-2662 | |
| Not Available |
| Full Name | Mountain After Hours Clinic Psc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1908 N Main St, Hazard, Kentucky |
| Authorized Official Name and Position | Anthony T Yonts (CO-OWNER) |
| Authorized Official Contact | 6064360711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain After Hours Clinic Psc 1908 N Main St Suite 120 Hazard KY 41701-2505 Ph: (606) 439-2662 | Mountain After Hours Clinic Psc 1908 N Main St Suite 120 Hazard KY 41701-2505 Ph: (606) 439-2662 |
| NPI Number | 1477638880 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 01/10/2023 |
| Medicare PECOS PAC ID | 0547170102 |
|---|---|
| Medicare Enrollment ID | O20030515000014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477638880 | NPI | - | NPPES |
| 7100822290 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 900091 (Kentucky) | Primary |
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