| |
602 Knox St Barbourville KY 40906-1304 | |
(606) 546-6027 | |
(606) 546-2084 |
Full Name | |
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Speciality | Clinic/Center |
Location | 602 Knox St, Barbourville, Kentucky |
Authorized Official Name and Position | Danyel D Clay (VP REVENUE CYCLE) |
Authorized Official Contact | 5022534911 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1901 Campus Pl Louisville KY 40299-2308 Ph: (502) 253-4911 | 602 Knox St Barbourville KY 40906-1304 Ph: (606) 546-6027 |
NPI Number | 1184119398 |
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Provider Enumeration Date | 06/29/2018 |
Last Update Date | 07/22/2024 |
Medicare PECOS PAC ID | 5597867184 |
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Medicare Enrollment ID | O20150603002897 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184119398 | NPI | - | NPPES |
18-8935 | Other | KY | MEDICARE |
7100315380 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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Yahweh Medical Clinic Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Knox Plz, Barbourville, KY 40906 Phone: 631-790-2862 | |
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