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121 W Virginia Ave Pineville KY 40977-1661 | |
| (606) 337-3051 | |
| (606) 337-2871 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 121 W Virginia Ave, Pineville, Kentucky |
| Authorized Official Name and Position | Kevin Couch (CONTROLLER) |
| Authorized Official Contact | 6063373051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
850 Riverview Ave Pineville KY 40977-1452 Ph: (606) 337-3051 | 121 W Virginia Ave Pineville KY 40977-1661 Ph: (606) 337-3051 |
| NPI Number | 1093205593 |
|---|---|
| Provider Enumeration Date | 05/10/2018 |
| Last Update Date | 05/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093205593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Southeast Family Practice Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 222 W Tennessee Ave, Pineville, KY 40977 Phone: 606-499-5135 | |
Pineville Community Hospital Association, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 Riverview Ave, Pineville, KY 40977 Phone: 606-337-3051 | |
Memorial Hospital Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12904 Robert L Madon Byp Ste 2, Pineville, KY 40977 Phone: 606-598-4508 Fax: 606-712-1200 | |
Pine Mountain Clinic Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 850 Riverview Rd, Pineville, KY 40977 Phone: 606-337-6047 Fax: 606-337-0925 | |