| 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 |
|---|---|
| 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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