T J Health Columbia Primary Care | |
810 Jamestown St Columbia KY 42728-1010 | |
(270) 384-4764 | |
(270) 384-2828 |
Full Name | T J Health Columbia Primary Care |
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Speciality | Clinic/Center |
Location | 810 Jamestown St, 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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T J Health Columbia Primary Care Po Box 645996 Cincinnati OH 45264-5996 Ph: (270) 651-4444 | T J Health Columbia Primary Care 810 Jamestown St Columbia KY 42728-1010 Ph: (270) 384-4764 |
NPI Number | 1942666466 |
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Provider Enumeration Date | 01/13/2016 |
Last Update Date | 03/30/2023 |
Medicare PECOS PAC ID | 7113224783 |
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Medicare Enrollment ID | O20160324002267 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942666466 | NPI | - | NPPES |
7100444310 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (Kentucky) | Primary |
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