| Russell County High School | |
|
2166 S Highway 127 Russell Springs KY 42642-4010 | |
| (270) 866-3341 | |
| (270) 864-1693 |
| Full Name | Russell County High School |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2166 S Highway 127, Russell Springs, Kentucky |
| Authorized Official Name and Position | Eric E Loy (CEO) |
| Authorized Official Contact | 2708642889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell County High School Po Box 1080 Burkesville KY 42717-1080 Ph: (270) 864-1472 | Russell County High School 2166 S Highway 127 Russell Springs KY 42642-4010 Ph: (270) 866-3341 |
| NPI Number | 1356732713 |
|---|---|
| Provider Enumeration Date | 02/06/2015 |
| Last Update Date | 06/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356732713 | NPI | - | NPPES |
| 7100017280 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700172 (Kentucky) | Primary |
Russell County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 124 Dowell Rd, Russell Springs, KY 42642 Phone: 270-866-4141 | |
Russell County Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 72 Joe T Petty Dr, Russell Springs, KY 42642 Phone: 270-866-7771 Fax: 270-866-7774 | |
Redd Road Enterprises, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9321 Ky 80-east, Russell Springs, KY 42728 Phone: 270-385-9208 Fax: 270-385-9209 | |
Lily Creek Medical Group, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 92 Joe T Petty Dr, Russell Springs, KY 42642 Phone: 270-866-8881 Fax: 270-866-8849 | |
Primary Care Associates Of Russell County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 92 Joe T Petty Dr, Russell Springs, KY 42642 Phone: 270-866-9359 | |
John Kilgallin M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Dowell Rd, Russell Springs, KY 42642 Phone: 270-866-3161 Fax: 270-866-3163 |