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1908 N Main St Ste 230 Hazard KY 41701-2503 | |
(606) 435-2961 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 1908 N Main St Ste 230, Hazard, Kentucky |
Authorized Official Name and Position | Connie Castle (MANAGING DIRECTOR) |
Authorized Official Contact | 6064360711 |
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 959 Hazard KY 41702-0959 Ph: (606) 435-2961 | 1908 N Main St Ste 230 Hazard KY 41701-2503 Ph: (606) 435-2961 |
NPI Number | 1417704792 |
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Provider Enumeration Date | 05/03/2024 |
Last Update Date | 06/17/2024 |
Medicare PECOS PAC ID | 3971690173 |
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Medicare Enrollment ID | O20240828000244 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417704792 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Provider Name | Anthony T Yonts |
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Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1447348388 PECOS PAC ID: 1355399916 Enrollment ID: I20050110001166 |
Provider Name | Brett M Muha |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174547210 PECOS PAC ID: 1153418355 Enrollment ID: I20071106000202 |
Provider Name | Paula J Runyon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952621807 PECOS PAC ID: 3072706738 Enrollment ID: I20101026000972 |
Provider Name | Jacqueline D Allen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730578121 PECOS PAC ID: 7618292772 Enrollment ID: I20150211002441 |
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 | |