| Taylor And Clifton Family Healthcare | |
|
14 Moonbow Plz Ste 2 Corbin KY 40701-8910 | |
| (606) 524-7510 | |
| Not Available |
| Full Name | Taylor And Clifton Family Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 14 Moonbow Plz Ste 2, Corbin, Kentucky |
| Authorized Official Name and Position | Gloria Taylor (MEMBER) |
| Authorized Official Contact | 6065247510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor And Clifton Family Healthcare 14 Moonbow Plz Ste 2 Corbin KY 40701-8910 Ph: () - | Taylor And Clifton Family Healthcare 14 Moonbow Plz Ste 2 Corbin KY 40701-8910 Ph: (606) 524-7510 |
| NPI Number | 1700425675 |
|---|---|
| Provider Enumeration Date | 12/24/2019 |
| Last Update Date | 12/24/2019 |
| Medicare PECOS PAC ID | 5991133803 |
|---|---|
| Medicare Enrollment ID | O20200306001354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700425675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Gloria J Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356326896 PECOS PAC ID: 3072569359 Enrollment ID: I20050330000214 |
| Provider Name | Keith A Clifton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659327278 PECOS PAC ID: 8921901489 Enrollment ID: I20060323000028 |
| Provider Name | Vernon E Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326380304 PECOS PAC ID: 4880831882 Enrollment ID: I20130511000013 |
| Provider Name | Rebekah Virginia Elaine Cloud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295378792 PECOS PAC ID: 1658704242 Enrollment ID: I20191212002360 |
| Provider Name | Stephanie B Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104422492 PECOS PAC ID: 3476965021 Enrollment ID: I20201223002175 |
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