| Preferred Healthcare Incorporated | |
|
686 S Highway 25 W Williamsburg KY 40769-1604 | |
| (606) 549-5052 | |
| (606) 549-2718 |
| Full Name | Preferred Healthcare Incorporated |
|---|---|
| Speciality | Clinic/Center |
| Location | 686 S Highway 25 W, Williamsburg, Kentucky |
| Authorized Official Name and Position | Lloyd Coffey (ADMINISTRATOR) |
| Authorized Official Contact | 6065495052 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Preferred Healthcare Incorporated 686 S Highway 25 W Williamsburg KY 40769-1604 Ph: () - | Preferred Healthcare Incorporated 686 S Highway 25 W Williamsburg KY 40769-1604 Ph: (606) 549-5052 |
| NPI Number | 1740526888 |
|---|---|
| Provider Enumeration Date | 12/18/2012 |
| Last Update Date | 11/10/2020 |
| Medicare PECOS PAC ID | 5294990057 |
|---|---|
| Medicare Enrollment ID | O20120628000170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740526888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 900281 (Kentucky) | Primary |
| Provider Name | Jennifer D Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700260676 PECOS PAC ID: 4688984008 Enrollment ID: I20151113001481 |
| Provider Name | Donna Marie Bragg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952879322 PECOS PAC ID: 9133464019 Enrollment ID: I20181220002862 |
| Provider Name | Marcie Np Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194328831 PECOS PAC ID: 3678973906 Enrollment ID: I20210608002776 |
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