| Supportive Med | |
|
1224 Hoods Creek Pike Ashland KY 41101-7220 | |
| (606) 324-0334 | |
| (606) 324-0447 |
| Full Name | Supportive Med |
|---|---|
| Speciality | Clinic/Center |
| Location | 1224 Hoods Creek Pike, Ashland, Kentucky |
| Authorized Official Name and Position | Jeri Jones Craft (OWNER/DIRECTOR) |
| Authorized Official Contact | 6063240334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Supportive Med 1224 Hoods Creek Pike Ashland KY 41101-7220 Ph: (606) 324-0334 | Supportive Med 1224 Hoods Creek Pike Ashland KY 41101-7220 Ph: (606) 324-0334 |
| NPI Number | 1598200602 |
|---|---|
| Provider Enumeration Date | 12/28/2016 |
| Last Update Date | 02/23/2017 |
| Medicare PECOS PAC ID | 5991089591 |
|---|---|
| Medicare Enrollment ID | O20170227001922 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598200602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 010417 1 (Kentucky) | Primary |
| Provider Name | Madonna J Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265467856 PECOS PAC ID: 0648374611 Enrollment ID: I20070330000404 |
| Provider Name | Luther Daniel Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669470258 PECOS PAC ID: 3375514474 Enrollment ID: I20070926000595 |
| Provider Name | Brandon Nelson Conrad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841428059 PECOS PAC ID: 6608094263 Enrollment ID: I20140825000752 |
Ovp Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2550 Carter Ave, Ashland, KY 41101 Phone: 304-429-1088 | |
George Carl Borst Iii Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1201 St.christopher Drive, Ashland, KY 41101 Phone: 606-324-1101 Fax: 606-324-0404 | |
Hazel Yang, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2025 Carter Ave, Ashland, KY 41101 Phone: 606-325-1894 Fax: 606-325-9193 | |
Malcolm H. King, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2301 Lexington Ave, Suite 205, Ashland, KY 41101 Phone: 606-325-9633 Fax: 606-325-9634 | |
Bellefonte Pediatrics, Ashland Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2910 Carter Ave, Ashland, KY 41101 Phone: 606-326-9001 Fax: 606-326-9005 | |
Kings Daughters - Boyd County High School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14375 Lions Ln, Ashland, KY 41102 Phone: 606-408-8920 Fax: 606-408-8908 | |
Eric F. Smith, Do Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 617 23rd St, Suite 130, Ashland, KY 41101 Phone: 606-329-2888 Fax: 606-329-2890 |