Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 305 Estill St, Berea, Kentucky |
Authorized Official Name and Position | Christy Spitser (VP OF FINANCE) |
Authorized Official Contact | 8593131694 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Po Box 936 London KY 40743-0936 Ph: (606) 330-7835 | 305 Estill St Berea KY 40403-1742 Ph: (859) 986-2343 |
NPI Number | 1982955290 |
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Provider Enumeration Date | 09/26/2012 |
Last Update Date | 01/25/2023 |
Medicare PECOS PAC ID | 4183641400 |
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Medicare Enrollment ID | O20120118000472 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982955290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 18-3473 (Kentucky) | Primary |
Department Of Veterans Affairs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Pauline Dr, Berea, KY 40403 Phone: 859-233-4511 Fax: 859-986-1289 | |
Berea Health Ministry, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Estill Street, Berea, KY 40403 Phone: 859-986-1274 Fax: 859-986-1279 | |
Everside Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Mayde Rd, Berea, KY 40403 Phone: 859-986-2359 |