| St. Claire Regional Family Medicine-olive Hill | |
|
155 Bricklayer Street Olive Hill KY 41164-1268 | |
| (606) 286-4152 | |
| (606) 286-2385 |
| Full Name | St. Claire Regional Family Medicine-olive Hill |
|---|---|
| Speciality | Clinic/Center |
| Location | 155 Bricklayer Street, Olive Hill, Kentucky |
| Authorized Official Name and Position | Donald H Lloyd (PRESIDENT - CEO) |
| Authorized Official Contact | 6067836502 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Claire Regional Family Medicine-olive Hill Po Box 1268 Olive Hill KY 41164-1268 Ph: (606) 286-4152 | St. Claire Regional Family Medicine-olive Hill 155 Bricklayer Street Olive Hill KY 41164-1268 Ph: (606) 286-4152 |
| NPI Number | 1285771667 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 08/17/2023 |
| Medicare PECOS PAC ID | 4486559085 |
|---|---|
| Medicare Enrollment ID | O20100722000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285771667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 900057 (Kentucky) | Primary |
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