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225 Hospital Dr Ste 255 Winchester KY 40391-7625 | |
| (859) 404-7686 | |
| (859) 498-8160 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 225 Hospital Dr Ste 255, Winchester, Kentucky |
| Authorized Official Name and Position | Alex Conrad (CEO) |
| Authorized Official Contact | 8594047686 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
236 W Main St Mount Sterling KY 40353-1348 Ph: (859) 404-7686 | 225 Hospital Dr Ste 255 Winchester KY 40391-7625 Ph: (859) 404-7686 |
| NPI Number | 1871122374 |
|---|---|
| Provider Enumeration Date | 04/06/2020 |
| Last Update Date | 07/19/2023 |
| Medicare PECOS PAC ID | 9436301686 |
|---|---|
| Medicare Enrollment ID | O20200618002913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871122374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Ertel Medicine & Pediatrics, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 Boonesboro Rd, Winchester, KY 40391 Phone: 859-744-0067 Fax: 859-744-0042 | |
Clark County Health Depart Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Professional Ave, Winchester, KY 40391 Phone: 859-744-4482 Fax: 859-737-2426 | |
Harold S. Moberly M.d. Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 246 W Lexington Ave, Winchester, KY 40391 Phone: 859-744-2732 | |
Clark Regional Physician Practices, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 225 Hospital Dr, Winchester, KY 40391 Phone: 859-737-8528 Fax: 859-737-8529 | |
Means Adult Primary Care Clinic Of Kentucky Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1145 W Lexington Ave Fl 2, Winchester, KY 40391 Phone: 859-744-0301 Fax: 859-744-0608 |