| One Cross Health Clinic Inc | |
|
106 Winston Way Campbellsville KY 42718-4953 | |
| (270) 789-0034 | |
| (270) 789-0097 |
| Full Name | One Cross Health Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 106 Winston Way, Campbellsville, Kentucky |
| Authorized Official Name and Position | Kimberly Rose 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 Health Clinic Inc 106 Winston Way Campbellsville KY 42718-4953 Ph: (270) 789-0034 | One Cross Health Clinic Inc 106 Winston Way Campbellsville KY 42718-4953 Ph: (270) 789-0034 |
| NPI Number | 1942606454 |
|---|---|
| Provider Enumeration Date | 11/10/2014 |
| Last Update Date | 12/01/2022 |
| Medicare PECOS PAC ID | 2466790472 |
|---|---|
| Medicare Enrollment ID | O20200228000548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942606454 | NPI | - | NPPES |
| 7100657890 | Medicaid | KY | |
| K124131 | Other | KY | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3004091 (Kentucky) | Secondary |
| 261QR1300X | Clinic/center - Rural 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 | John Patterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235100876 PECOS PAC ID: 2466557749 Enrollment ID: I20100624000092 |
| Provider Name | Teresa Mcilvoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235580754 PECOS PAC ID: 0143599977 Enrollment ID: I20170710002386 |
| Provider Name | Tammy Mcwhorter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720663081 PECOS PAC ID: 5698183903 Enrollment ID: I20210426000636 |
| Provider Name | Amanda Lauren Mattingly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194495168 PECOS PAC ID: 6406242585 Enrollment ID: I20220330001501 |
| Provider Name | Kimberly Dawn Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275100158 PECOS PAC ID: 9638466261 Enrollment ID: I20220405000927 |
| Provider Name | Perry Davis Babcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750842167 PECOS PAC ID: 5395130843 Enrollment ID: I20220603001867 |
| Provider Name | Shaina Marie Seaborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851020648 PECOS PAC ID: 2163891524 Enrollment ID: I20221207002439 |
| Provider Name | Mckenzie Lynn Blacketer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295431112 PECOS PAC ID: 2163865445 Enrollment ID: I20240205000975 |
Taylor County Family Practice Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 407 E 1st St, Campbellsville, KY 42718 Phone: 270-465-4841 Fax: 270-465-0120 | |
Stephens' Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 70 Ubermonkey Lane, Campbellsville, KY 42718 Phone: 270-465-0060 Fax: 270-465-0134 | |
Taylor Regional Hospital Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 73 Kingswood Dr, Campbellsville, KY 42718 Phone: 270-849-2379 Fax: 270-465-2126 | |
Taylor Regional Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 Kingswood Dr, Campbellsville, KY 42718 Phone: 270-465-2116 Fax: 270-465-2126 | |
Taylor Regional Pulmonology And Sleep Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 67 Kingswood Dr, Campbellsville, KY 42718 Phone: 270-465-2116 Fax: 270-465-2126 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1207 E Broadway, Campbellsville, KY 42718 Phone: 844-435-0900 Fax: 270-858-4029 | |
Tucker Family Medicine Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 105 Greenbriar Dr, Suite B, Campbellsville, KY 42718 Phone: 270-465-0191 |