Adventhealth Red Bird Clinic | |
53 Queendale Ctr Ste 2 Beverly KY 40913-8621 | |
(606) 598-5135 | |
(606) 599-2525 |
Full Name | Adventhealth Red Bird Clinic |
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Speciality | Clinic/Center |
Location | 53 Queendale Ctr Ste 2, Beverly, Kentucky |
Authorized Official Name and Position | Sissel Jacob (CEO) |
Authorized Official Contact | 6065985104 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Adventhealth Red Bird Clinic 210 Marie Langdon Dr Manchester KY 40962-6388 Ph: (606) 598-5104 | Adventhealth Red Bird Clinic 53 Queendale Ctr Ste 2 Beverly KY 40913-8621 Ph: (606) 598-5135 |
NPI Number | 1558665752 |
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Provider Enumeration Date | 01/03/2011 |
Last Update Date | 02/09/2023 |
Medicare PECOS PAC ID | 4486616141 |
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Medicare Enrollment ID | O20130620000577 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558665752 | NPI | - | NPPES |
7100312760 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |