| Russell Fork Walk-in Clinic | |
|
17401 Ky Highway 80 E Elkhorn City KY 41522-8226 | |
| (606) 754-7100 | |
| (606) 754-0770 |
| Full Name | Russell Fork Walk-in Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 17401 Ky Highway 80 E, Elkhorn City, Kentucky |
| Authorized Official Name and Position | Nichol Burchfield (OWNER/MEMBER) |
| Authorized Official Contact | 6064224764 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Fork Walk-in Clinic Po Box 2122 Pikeville KY 41502-2122 Ph: (606) 754-7100 | Russell Fork Walk-in Clinic 17401 Ky Highway 80 E Elkhorn City KY 41522-8226 Ph: (606) 754-7100 |
| NPI Number | 1528484037 |
|---|---|
| Provider Enumeration Date | 03/07/2014 |
| Last Update Date | 11/29/2023 |
| Medicare PECOS PAC ID | 6608188438 |
|---|---|
| Medicare Enrollment ID | O20150707002590 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528484037 | NPI | - | NPPES |
| Provider Name | James Robert Hager |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1386617322 PECOS PAC ID: 8224066113 Enrollment ID: I20050802000052 |
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