| Owsley County Elementary School Based Clinic | |
|
372 Ky 28 Ste A Booneville KY 41314-7325 | |
| (606) 593-7888 | |
| Not Available |
| Full Name | Owsley County Elementary School Based Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 372 Ky 28 Ste A, Booneville, Kentucky |
| Authorized Official Name and Position | Delena P Miller (CREDENTIALING) |
| Authorized Official Contact | 6066334823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Owsley County Elementary School Based Clinic Po Box 40 Whitesburg KY 41858-0040 Ph: (606) 633-4823 | Owsley County Elementary School Based Clinic 372 Ky 28 Ste A Booneville KY 41314-7325 Ph: (606) 593-7888 |
| NPI Number | 1598247447 |
|---|---|
| Provider Enumeration Date | 09/06/2018 |
| Last Update Date | 09/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598247447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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