| |
141 Hospital Dr Salem KY 42078-8043 | |
(270) 988-3298 | |
(270) 988-4642 |
Full Name | |
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Speciality | Clinic/Center |
Location | 141 Hospital Dr, Salem, Kentucky |
Authorized Official Name and Position | Michael Albin Heneisen (AGENT) |
Authorized Official Contact | 2709883298 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 347 Salem KY 42078-0347 Ph: (270) 988-3298 | 141 Hospital Dr Salem KY 42078-8043 Ph: (270) 988-3298 |
NPI Number | 1588644496 |
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Provider Enumeration Date | 01/18/2006 |
Last Update Date | 07/12/2016 |
Medicare PECOS PAC ID | 8426965278 |
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Medicare Enrollment ID | O20080923000091 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588644496 | NPI | - | NPPES |
6590103500 | Medicaid | KY | |
7100091640 | Medicaid | KY | |
7890094100 | Medicaid | KY |
R V Bharne Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 N Hayden Avenue, Salem, KY 42078 Phone: 270-988-3399 |