| Ross Family Medical | |
|
69 S Main St Whitley City KY 42653-6043 | |
| (606) 376-7077 | |
| Not Available |
| Full Name | Ross Family Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 69 S Main St, Whitley City, Kentucky |
| Authorized Official Name and Position | Emily R Ross (OWNER) |
| Authorized Official Contact | 6063767077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ross Family Medical Po Box 1111 Whitley City KY 42653-1111 Ph: (606) 376-7077 | Ross Family Medical 69 S Main St Whitley City KY 42653-6043 Ph: (606) 376-7077 |
| NPI Number | 1184326977 |
|---|---|
| Provider Enumeration Date | 03/17/2023 |
| Last Update Date | 09/03/2024 |
| Medicare PECOS PAC ID | 2163881780 |
|---|---|
| Medicare Enrollment ID | O20230629002804 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184326977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Emily R Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104331016 PECOS PAC ID: 6002174695 Enrollment ID: I20180104000293 |
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