Homeplace Clinic Grayson | |
129 Fraley Plz Grayson KY 41143-1274 | |
(606) 886-8572 | |
(606) 886-4433 |
Full Name | Homeplace Clinic Grayson |
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Speciality | Clinic/Center |
Location | 129 Fraley Plz, Grayson, Kentucky |
Authorized Official Name and Position | Roxann Cordial (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 6068868572 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Homeplace Clinic Grayson 129 Fraley Plz Grayson KY 41143-1274 Ph: (606) 886-8572 | Homeplace Clinic Grayson 129 Fraley Plz Grayson KY 41143-1274 Ph: (606) 886-8572 |
NPI Number | 1518441260 |
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Provider Enumeration Date | 09/19/2018 |
Last Update Date | 10/06/2023 |
Medicare PECOS PAC ID | 5294720553 |
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Medicare Enrollment ID | O20191003003181 |
Identifier | Type | State | Issuer |
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1518441260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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