| Regional Health Care Affiliates, Inc. | |
|
215 E Main St Providence KY 42450-1261 | |
| (270) 828-5784 | |
| (270) 825-5204 |
| Full Name | Regional Health Care Affiliates, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 215 E Main St, Providence, 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. 215 E Main St Providence KY 42450-1261 Ph: (270) 828-5784 |
| NPI Number | 1558692558 |
|---|---|
| Provider Enumeration Date | 01/15/2010 |
| Last Update Date | 02/15/2023 |
| Medicare PECOS PAC ID | 3173668274 |
|---|---|
| Medicare Enrollment ID | O20100301000337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558692558 | NPI | - | NPPES |
| 7100111220 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Kentucky) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Baptist Health Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 E Main St, Providence, KY 42450 Phone: 270-667-7017 | |
Cole Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 East Main St, Providence, KY 42450 Phone: 270-667-2023 Fax: 270-667-7518 |