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140 Newcomb Ave Mount Vernon KY 40456-2728 | |
(606) 256-4148 | |
(606) 256-7410 |
Full Name | |
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Speciality | Clinic/Center |
Location | 140 Newcomb Ave, Mount Vernon, Kentucky |
Authorized Official Name and Position | Brandy L Bullock (ADMINISTRATOR) |
Authorized Official Contact | 6062567761 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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140 Newcomb Ave Mount Vernon KY 40456-2728 Ph: (606) 256-4148 | 140 Newcomb Ave Mount Vernon KY 40456-2728 Ph: (606) 256-4148 |
NPI Number | 1255645040 |
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Provider Enumeration Date | 08/04/2010 |
Last Update Date | 02/28/2014 |
Medicare PECOS PAC ID | 6103727433 |
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Medicare Enrollment ID | O20101013000059 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255645040 | NPI | - | NPPES |
900239 | Other | KY | STATE LICENSE NUMBER |
K017200 | Other | MEDICARE PART B |
Rockcastle Ventures Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Newcomb Ave, Mount Vernon, KY 40456 Phone: 606-256-7761 Fax: 606-256-5191 | |
Letek Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 942 W Main St Unit B, Mount Vernon, KY 40456 Phone: 731-571-9223 Fax: 931-901-1239 | |