Strategic Partnerships | |
1100 Walnut St Owensboro KY 42301-2956 | |
(270) 689-6721 | |
Not Available |
Full Name | Strategic Partnerships |
---|---|
Speciality | Clinic/center - Developmental Disabilities |
Location | 1100 Walnut St, Owensboro, Kentucky |
Authorized Official Name and Position | J. Michael Mountain (CFO) |
Authorized Official Contact | 2706896500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Strategic Partnerships Po Box 1637 Owensboro KY 42302-1637 Ph: (270) 689-6721 | Strategic Partnerships 1100 Walnut St Owensboro KY 42301-2956 Ph: (270) 689-6721 |
NPI Number | 1093756744 |
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Provider Enumeration Date | 06/10/2006 |
Last Update Date | 06/20/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093756744 | NPI | - | NPPES |
33900721 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QD1600X | Clinic/center - Developmental Disabilities | (* (Not Available)) | Primary |
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