| Primary Care Associates Of Russell County | |
|
92 Joe T Petty Dr Russell Springs KY 42642-8544 | |
| (270) 866-9359 | |
| Not Available |
| Full Name | Primary Care Associates Of Russell County |
|---|---|
| Speciality | Clinic/Center |
| Location | 92 Joe T Petty Dr, Russell Springs, Kentucky |
| Authorized Official Name and Position | Nequila Norris (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 2708586936 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Associates Of Russell County Po Box 1610 Russell Springs KY 42642-1610 Ph: (270) 866-4141 | Primary Care Associates Of Russell County 92 Joe T Petty Dr Russell Springs KY 42642-8544 Ph: (270) 866-9359 |
| NPI Number | 1295245025 |
|---|---|
| Provider Enumeration Date | 10/06/2017 |
| Last Update Date | 06/10/2024 |
| Medicare PECOS PAC ID | 6204887243 |
|---|---|
| Medicare Enrollment ID | O20180219000124 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295245025 | NPI | - | NPPES |
| 7100339990 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Russell County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 124 Dowell Rd, Russell Springs, KY 42642 Phone: 270-866-4141 | |
Russell County Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 Joe T Petty Dr, Russell Springs, KY 42642 Phone: 270-866-7771 Fax: 270-866-7774 | |
Redd Road Enterprises, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9321 Ky 80-east, Russell Springs, KY 42728 Phone: 270-385-9208 Fax: 270-385-9209 | |
Lily Creek Medical Group, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 92 Joe T Petty Dr, Russell Springs, KY 42642 Phone: 270-866-8881 Fax: 270-866-8849 | |
John Kilgallin M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Dowell Rd, Russell Springs, KY 42642 Phone: 270-866-3161 Fax: 270-866-3163 | |
Russell County High School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2166 S Highway 127, Russell Springs, KY 42642 Phone: 270-866-3341 Fax: 270-864-1693 |