Primary Care Centers Of Eastern Kentucky-vicco | |
10616 S Ky Hwy 15 Suite A Scuddy KY 41760-9033 | |
(606) 476-2274 | |
(606) 476-2304 |
Full Name | Primary Care Centers Of Eastern Kentucky-vicco |
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Speciality | Clinic/Center |
Location | 10616 S Ky Hwy 15, Scuddy, Kentucky |
Authorized Official Name and Position | Barry K 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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Primary Care Centers Of Eastern Kentucky-vicco Po Box 1988 Suite B Hazard KY 41702-1988 Ph: (606) 439-1300 | Primary Care Centers Of Eastern Kentucky-vicco 10616 S Ky Hwy 15 Suite A Scuddy KY 41760-9033 Ph: (606) 476-2274 |
NPI Number | 1184676314 |
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Provider Enumeration Date | 05/16/2006 |
Last Update Date | 05/26/2023 |
Medicare PECOS PAC ID | 3971415993 |
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Medicare Enrollment ID | O20210108000736 |
Identifier | Type | State | Issuer |
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1184676314 | NPI | - | NPPES |
000000560892 | Other | KY | BC/BS |
35002039 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |