| Mylyfe Senture-london | |
|
460 Industrial Blvd London KY 40741-7285 | |
| (844) 435-0900 | |
| (270) 858-4029 |
| Full Name | Mylyfe Senture-london |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 460 Industrial Blvd, London, Kentucky |
| Authorized Official Name and Position | Eric E Loy (CEO) |
| Authorized Official Contact | 2708586655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mylyfe Senture-london Po Box 1080 Burkesville KY 42717-1080 Ph: (270) 858-6655 | Mylyfe Senture-london 460 Industrial Blvd London KY 40741-7285 Ph: (844) 435-0900 |
| NPI Number | 1417614090 |
|---|---|
| Provider Enumeration Date | 11/18/2021 |
| Last Update Date | 11/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417614090 | NPI | - | NPPES |
| 7100017280 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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