| Santos Medical Services, Inc | |
|
325 Campbell Hill Road Campton KY 41301-0157 | |
| (606) 668-9540 | |
| Not Available |
| Full Name | Santos Medical Services, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 325 Campbell Hill Road, Campton, Kentucky |
| Authorized Official Name and Position | Edwin Magarro Santos (PRESIDENT) |
| Authorized Official Contact | 6066689540 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santos Medical Services, Inc 325 Campbell Hill Road Campton KY 41301-0157 Ph: (606) 668-9540 | Santos Medical Services, Inc 325 Campbell Hill Road Campton KY 41301-0157 Ph: (606) 668-9540 |
| NPI Number | 1972651263 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0446227300 |
|---|---|
| Medicare Enrollment ID | O20040911000130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972651263 | NPI | - | NPPES |
| 6432898200 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 32898 (Kentucky) | Primary |
| Provider Name | Edwin M Santos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689652281 PECOS PAC ID: 1153316898 Enrollment ID: I20040423000599 |
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