| Salyersville Medical Center, Llc | |
|
268 E Maple St Salyersville KY 41465-8032 | |
| (606) 349-5300 | |
| (606) 349-5312 |
| Full Name | Salyersville Medical Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 268 E Maple St, Salyersville, Kentucky |
| Authorized Official Name and Position | Djien So (ADMINISTRATOR) |
| Authorized Official Contact | 6067945600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salyersville Medical Center, Llc Po Box 2688 Pikeville KY 41502-2688 Ph: (606) 432-2748 | Salyersville Medical Center, Llc 268 E Maple St Salyersville KY 41465-8032 Ph: (606) 349-5300 |
| NPI Number | 1215984711 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 05/09/2023 |
| Medicare PECOS PAC ID | 4385539501 |
|---|---|
| Medicare Enrollment ID | O20040217000889 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215984711 | NPI | - | NPPES |
| 7100315420 | Medicaid | KY |
| Provider Name | Leonor S Pagtakhan So |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1376533091 PECOS PAC ID: 1355316514 Enrollment ID: I20040831000889 |
| Provider Name | Bernie Jean Justice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679702492 PECOS PAC ID: 1759418148 Enrollment ID: I20100415000774 |
| Provider Name | Lola M Arnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649512351 PECOS PAC ID: 5991943987 Enrollment ID: I20130604000024 |
| Provider Name | Cynthia P Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477985786 PECOS PAC ID: 3375770167 Enrollment ID: I20131227000707 |
| Provider Name | Erica Blackburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730518424 PECOS PAC ID: 6103055934 Enrollment ID: I20140127001257 |
| Provider Name | Lillie Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306182456 PECOS PAC ID: 6709187982 Enrollment ID: I20151211001231 |
| Provider Name | Theresa Denise Hockensmith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821404443 PECOS PAC ID: 2961786595 Enrollment ID: I20170228000274 |
| Provider Name | Sarah Ann Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467997940 PECOS PAC ID: 0749565117 Enrollment ID: I20170327001683 |
| Provider Name | Lacy Russell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275001869 PECOS PAC ID: 1355684846 Enrollment ID: I20190524001850 |
| Provider Name | Tonya D Goble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033681010 PECOS PAC ID: 1355678228 Enrollment ID: I20190815000671 |
| Provider Name | Marikate Grogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841892114 PECOS PAC ID: 9931511771 Enrollment ID: I20201218001689 |
| Provider Name | Stacy Renee Kirby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861070989 PECOS PAC ID: 7719375039 Enrollment ID: I20211019001541 |
| Provider Name | Haley Berryman Bloom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629708052 PECOS PAC ID: 0749665099 Enrollment ID: I20220922001260 |
| Provider Name | Betty Faye Noble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336794411 PECOS PAC ID: 9830568385 Enrollment ID: I20221206001363 |
Albaree Health Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 906 E Mountain Pkwy, Salyersville, KY 41465 Phone: 606-349-8100 Fax: 606-349-8150 | |
Frontier Behavioral Health Center Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 838 E Mountain Pkwy, Salyersville, KY 41465 Phone: 606-349-7475 Fax: 606-349-7476 | |
Hope Family Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 835 Parkway Drive, Hope Family Medical Center, Salyersville, KY 41465 Phone: 606-349-5126 Fax: 606-349-5123 | |
Charles E. Hardin, Jr. M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 787 Parkway Drive, Hardin Medical Plaza, Salyersville, KY 41465 Phone: 606-349-1909 Fax: 606-349-8088 | |
Mountain Comprehensive Care Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 28 Lakeville Rd, Salyersville, KY 41465 Phone: 606-886-8572 Fax: 606-886-4433 | |
Highlands Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 186 Breanna Boulevard, Suite 100, Salyersville, KY 41465 Phone: 606-349-3800 Fax: 606-263-5619 |