| Paint Lick Elementary Healthy Kids Clinic | |
|
6798 Richmond Rd Paint Lick KY 40461-8812 | |
| (859) 792-2122 | |
| (270) 858-4029 |
| Full Name | Paint Lick Elementary Healthy Kids Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 6798 Richmond Rd, Paint Lick, 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 |
|---|---|
| Paint Lick Elementary Healthy Kids Clinic Po Box 1080 Burkesville KY 42717-1080 Ph: (270) 858-6655 | Paint Lick Elementary Healthy Kids Clinic 6798 Richmond Rd Paint Lick KY 40461-8812 Ph: (859) 792-2122 |
| NPI Number | 1881170280 |
|---|---|
| Provider Enumeration Date | 07/18/2018 |
| Last Update Date | 07/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881170280 | NPI | - | NPPES |
| 7100017280 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Kentucky) | Primary |
Paint Lick Family Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11652 Hwy 52 Richmond Road, Paint Lick, KY 40461 Phone: 859-925-2444 Fax: 859-925-2334 |