| Saint Joseph Berea Family Medicine | |
|
305 Estill St Berea KY 40403-1742 | |
| (859) 986-2343 | |
| (859) 986-2344 |
| Full Name | Saint Joseph Berea Family Medicine |
|---|---|
| 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 |
|---|---|
| Saint Joseph Berea Family Medicine Po Box 936 London KY 40743-0936 Ph: (606) 330-7835 | Saint Joseph Berea Family Medicine 305 Estill St Berea KY 40403-1742 Ph: (859) 986-2343 |
| NPI Number | 1982955290 |
|---|---|
| Provider Enumeration Date | 09/26/2012 |
| Last Update Date | 01/25/2023 |
| Medicare PECOS PAC ID | 4183641400 |
|---|---|
| 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 |
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