| Regional Health Care Affiliates Inc | |
|
700 Martin Luther King Ave Henderson KY 42420-3663 | |
| (270) 667-7017 | |
| Not Available |
| Full Name | Regional Health Care Affiliates Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 700 Martin Luther King Ave, Henderson, Kentucky |
| Authorized Official Name and Position | Shelley Gobin (CEO) |
| Authorized Official Contact | 2706677017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regional Health Care Affiliates Inc Po Box 37 Providence KY 42450-0037 Ph: (270) 667-7017 | Regional Health Care Affiliates Inc 700 Martin Luther King Ave Henderson KY 42420-3663 Ph: (270) 667-7017 |
| NPI Number | 1851767461 |
|---|---|
| Provider Enumeration Date | 08/18/2015 |
| Last Update Date | 02/12/2018 |
| Medicare PECOS PAC ID | 3173668274 |
|---|---|
| Medicare Enrollment ID | O20160617001572 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851767461 | NPI | - | NPPES |
| 7100111220 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 700211 (Kentucky) | Primary |
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