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1084 Veterans Memorial Hwy Scottsville KY 42164-9602 | |
(270) 237-3123 | |
(270) 237-3139 |
Full Name | |
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Speciality | Clinic/Center |
Location | 1084 Veterans Memorial Hwy, Scottsville, Kentucky |
Authorized Official Name and Position | Neil C 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 OH 45264-3483 Ph: (270) 651-4444 | 1084 Veterans Memorial Hwy Scottsville KY 42164-9602 Ph: (270) 237-3123 |
NPI Number | 1952953432 |
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Provider Enumeration Date | 07/15/2019 |
Last Update Date | 03/30/2023 |
Medicare PECOS PAC ID | 7113224783 |
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Medicare Enrollment ID | O20190917003261 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952953432 | NPI | - | NPPES |
18-8527 | Other | KY | MEDICARE |
71006422130 | Medicaid | KY | |
K209780 | Other | KY | MEDICARE B |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Agape Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1732 Old Gallatin Rd, Scottsville, KY 42164 Phone: 270-239-1400 Fax: 270-239-1402 | |