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205 E Adair Street Smithland KY 42081 | |
(270) 928-2146 | |
(270) 928-4492 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 205 E Adair Street, Smithland, Kentucky |
Authorized Official Name and Position | Michael J Budnick (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 2709882299 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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131 Hospital Dr Salem KY 42078-8043 Ph: (270) 988-2299 | 205 E Adair Street Smithland KY 42081 Ph: (270) 928-2146 |
NPI Number | 1104874858 |
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Provider Enumeration Date | 05/05/2006 |
Last Update Date | 04/07/2008 |
Identifier | Type | State | Issuer |
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1104874858 | NPI | - | NPPES |
65944019 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | 600071 (Kentucky) | Primary |