Purchase Care Llc | |
503 5th Ave Calvert City KY 42029 | |
(270) 395-5388 | |
(270) 395-1792 |
Full Name | Purchase Care Llc |
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Speciality | General Practice |
Location | 503 5th Ave, Calvert City, Kentucky |
Authorized Official Name and Position | Charles L Waller (MEDICAL DIRECTOR) |
Authorized Official Contact | 2703955388 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Purchase Care Llc Po Box 1175 Calvert City KY 42029 Ph: (270) 395-5388 | Purchase Care Llc 503 5th Ave Calvert City KY 42029 Ph: (270) 395-5388 |
NPI Number | 1710047998 |
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Provider Enumeration Date | 12/11/2006 |
Last Update Date | 02/08/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710047998 | NPI | - | NPPES |
65941718 | Medicaid | KY | |
000000174371 | Other | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Calvert City Rural Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4754 Us Highway 62, Calvert City, KY 42029 Phone: 270-415-7780 Fax: 270-415-7779 |