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402 Richmond Rd N Suite B Berea KY 40403-1133 | |
(859) 986-9521 | |
(859) 986-7369 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 402 Richmond Rd N, Berea, Kentucky |
Authorized Official Name and Position | Jon M Strauss (OWNER) |
Authorized Official Contact | 6063922301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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225 Richmond Street P.o. Box 4019 Mt. Vernon KY 40456-4019 Ph: (606) 392-2301 | 402 Richmond Rd N Suite B Berea KY 40403-1133 Ph: (859) 986-9521 |
NPI Number | 1831131481 |
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Provider Enumeration Date | 06/11/2006 |
Last Update Date | 03/08/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831131481 | NPI | - | NPPES |
CJ2363 | Other | KY | RAILROAD MEDICARE |
35000025 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Department Of Veterans Affairs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Pauline Dr, Berea, KY 40403 Phone: 859-233-4511 Fax: 859-986-1289 | |
Berea Health Ministry, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Estill Street, Berea, KY 40403 Phone: 859-986-1274 Fax: 859-986-1279 | |
Everside Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Mayde Rd, Berea, KY 40403 Phone: 859-986-2359 |