| One Cross Community, Inc. | |
|
429 W Walnut St Lebanon KY 40033-1346 | |
| (270) 789-0034 | |
| (270) 789-0097 |
| Full Name | One Cross Community, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 429 W Walnut St, Lebanon, Kentucky |
| Authorized Official Name and Position | Kimberly Mckenna (PRESIDENT) |
| Authorized Official Contact | 2704031106 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Cross Community, Inc. 102 Winston Way Ste 5 Campbellsville KY 42718-4991 Ph: (270) 789-0034 | One Cross Community, Inc. 429 W Walnut St Lebanon KY 40033-1346 Ph: (270) 789-0034 |
| NPI Number | 1215404082 |
|---|---|
| Provider Enumeration Date | 10/30/2018 |
| Last Update Date | 12/29/2022 |
| Medicare PECOS PAC ID | 6406182781 |
|---|---|
| Medicare Enrollment ID | O20230113001349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215404082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Kimberly R Mckenna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295810786 PECOS PAC ID: 8325947179 Enrollment ID: I20031231000397 |
| Provider Name | Kimberly Dawn Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275100158 PECOS PAC ID: 9638466261 Enrollment ID: I20220405000927 |
Village Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 325 W Walnut St Ste 600, Lebanon, KY 40033 Phone: 270-699-9500 Fax: 270-699-9550 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Corporate Dr, Lebanon, KY 40033 Phone: 270-692-3441 Fax: 270-858-4029 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 W Main St, Lebanon, KY 40033 Phone: 270-692-3883 Fax: 270-858-4029 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3345 Highway 208, Lebanon, KY 40033 Phone: 270-692-3676 Fax: 270-858-4029 | |
Gregory W. Schall, Do, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 W High Street, Lebanon, KY 40033 Phone: 270-692-9559 Fax: 270-692-9236 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1155 Hwy 327, Lebanon, KY 40033 Phone: 270-692-4902 Fax: 270-858-4029 |