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101 Town And Country Ln Suite100 Hazard KY 41701-9524 | |
(606) 439-1300 | |
(606) 439-1400 |
Full Name | |
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Speciality | Clinic/Center |
Location | 101 Town And Country Ln, Hazard, Kentucky |
Authorized Official Name and Position | Barry Martin (CEO) |
Authorized Official Contact | 6064391300 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 1988 Hazard KY 41702 Ph: (606) 435-7642 | 101 Town And Country Ln Suite100 Hazard KY 41701-9524 Ph: (606) 439-1300 |
NPI Number | 1942275805 |
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Provider Enumeration Date | 02/22/2006 |
Last Update Date | 09/19/2016 |
Medicare PECOS PAC ID | 3971415993 |
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Medicare Enrollment ID | O20210108001463 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942275805 | NPI | - | NPPES |
7100167330 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | 900161 (Kentucky) | Primary |
Hazard Family Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 625 Memorial Dr Ste 1, Hazard, KY 41701 Phone: 606-435-0001 Fax: 606-435-0058 | |
Advanced Care Clinique Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 Roy Campbell Dr, Hazard, KY 41701 Phone: 606-439-3223 | |
The Village Doctor, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Sterling Ln, Hazard, KY 41701 Phone: 606-439-1030 Fax: 606-439-1035 | |