| |
56 Marie Langdon Dr Manchester KY 40962-6329 | |
(606) 598-5104 | |
(606) 598-1688 |
Full Name | |
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Speciality | Clinic/Center |
Location | 56 Marie Langdon Dr, Manchester, Kentucky |
Authorized Official Name and Position | Sissel Jacob (PRESIDENT/CEO) |
Authorized Official Contact | 6065985104 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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210 Marie Langdon Dr Manchester KY 40962-6388 Ph: (606) 598-5104 | 56 Marie Langdon Dr Manchester KY 40962-6329 Ph: (606) 598-5104 |
NPI Number | 1255471827 |
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Provider Enumeration Date | 02/06/2007 |
Last Update Date | 02/09/2023 |
Medicare PECOS PAC ID | 4486616141 |
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Medicare Enrollment ID | O20100305000639 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255471827 | NPI | - | NPPES |
7100339170 | Medicaid | KY | |
31001134 | Medicaid | KY | |
CC2941 | Other | RR MEDICARE |
Bell Medical Billing Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Richmond Rd Unit B, Manchester, KY 40962 Phone: 859-402-4853 Fax: 606-598-8838 | |
Kishore Internal Medicine, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 94 Marie Langdon Dr, Ste 2, Manchester, KY 40962 Phone: 606-599-0200 Fax: 606-599-0202 | |
Christian Family Healthcare, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Garrard Sq, Manchester, KY 40962 Phone: 606-658-2323 Fax: 606-658-6085 |