| T J Health Edmonton | |
|
1704 W Stockton St Edmonton KY 42129-8137 | |
| (270) 432-4800 | |
| (270) 432-4804 |
| Full Name | T J Health Edmonton |
|---|---|
| Speciality | Clinic/Center |
| Location | 1704 W Stockton St, Edmonton, 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 |
|---|---|
| T J Health Edmonton Po Box 654996 Cincinnati OH 45264-0001 Ph: (270) 651-4444 | T J Health Edmonton 1704 W Stockton St Edmonton KY 42129-8137 Ph: (270) 432-4800 |
| NPI Number | 1831555358 |
|---|---|
| Provider Enumeration Date | 01/13/2016 |
| Last Update Date | 03/30/2023 |
| Medicare PECOS PAC ID | 7113224783 |
|---|---|
| Medicare Enrollment ID | O20160324002277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831555358 | NPI | - | NPPES |
| 7100422700 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Kentucky) | Primary |
Edmonton Primary Care Med Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 West Stockton Street, Edmonton, KY 42129 Phone: 270-384-4753 | |
John W Drury, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1704 W Stockton St, Edmonton, KY 42129 Phone: 270-432-4800 Fax: 270-432-4804 | |
Cumberland Family Medical, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Randolph Street, Lot 1, Edmonton, KY 42129 Phone: 844-435-0900 Fax: 270-858-4029 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Randolph Street, Edmonton, KY 42129 Phone: 844-435-0900 Fax: 270-858-4029 | |
Edmonton Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 W Stockton St, Edmonton, KY 42129 Phone: 270-432-5782 Fax: 270-432-0001 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 703 West Stockton Street, Edmonton, KY 42129 Phone: 844-435-0900 Fax: 270-858-4029 |