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902 Westlake Dr Ste 101 Columbia KY 42728-1149 | |
(270) 384-0451 | |
(270) 384-0454 |
Full Name | |
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Speciality | Clinic/Center |
Location | 902 Westlake Dr Ste 101, Columbia, Kentucky |
Authorized Official Name and Position | Neil Thornbury (CEO) |
Authorized Official Contact | 2706514159 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 645996 Cincinnati Cincinnati OH 45264-0001 Ph: (270) 651-4444 | 902 Westlake Dr Ste 101 Columbia KY 42728-1149 Ph: (270) 384-0451 |
NPI Number | 1235595653 |
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Provider Enumeration Date | 01/14/2016 |
Last Update Date | 03/30/2023 |
Medicare PECOS PAC ID | 7113224783 |
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Medicare Enrollment ID | O20160325000011 |
Identifier | Type | State | Issuer |
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1235595653 | NPI | - | NPPES |
7100422710 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (Kentucky) | Primary |
T J Health Columbia Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 901 Westlake Dr, Columbia, KY 42728 Phone: 270-384-4753 Fax: 270-384-6228 | |
Grant Chiropractic Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 908 Russell Rd, Columbia, KY 42728 Phone: 270-384-3271 Fax: 270-384-3271 |