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850 Riverview Ave Pineville KY 40977-1452 | |
(606) 654-4775 | |
(606) 654-2613 |
Full Name | |
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Speciality | Clinic/Center |
Location | 850 Riverview Ave, Pineville, Kentucky |
Authorized Official Name and Position | Sheryl Richter (PRESIDENT/CEO) |
Authorized Official Contact | 6063373051 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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850 Riverview Ave Pineville KY 40977-1452 Ph: (606) 337-3051 | 850 Riverview Ave Pineville KY 40977-1452 Ph: (606) 654-4775 |
NPI Number | 1073171849 |
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Provider Enumeration Date | 06/05/2019 |
Last Update Date | 01/31/2025 |
Medicare PECOS PAC ID | 5698009157 |
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Medicare Enrollment ID | O20190723001705 |
Identifier | Type | State | Issuer |
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1073171849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Southeast Family Practice Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 222 W Tennessee Ave, Pineville, KY 40977 Phone: 606-499-5135 | |
Pineville Community Hospital Association, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 Riverview Ave, Pineville, KY 40977 Phone: 606-337-3051 | |
Memorial Hospital Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12904 Robert L Madon Byp Ste 2, Pineville, KY 40977 Phone: 606-598-4508 Fax: 606-712-1200 | |
Pine Mountain Clinic Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 850 Riverview Rd, Pineville, KY 40977 Phone: 606-337-6047 Fax: 606-337-0925 | |