| The Heart Group | |
|
2601 Kentucky Ave Dob 1 Suite 301 Paducah KY 42003-3817 | |
| (270) 575-3113 | |
| (270) 575-3135 |
| Full Name | The Heart Group |
|---|---|
| Speciality | Clinic/center |
| Location | 2601 Kentucky Ave, Paducah, Kentucky |
| Authorized Official Name and Position | James S. Gwinn (PRESIDENT) |
| Authorized Official Contact | 2704150361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Heart Group Po Box 7648 Paducah KY 42002-7648 Ph: (800) 467-2392 | The Heart Group 2601 Kentucky Ave Dob 1 Suite 301 Paducah KY 42003-3817 Ph: (270) 575-3113 |
| NPI Number | 1891806899 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891806899 | NPI | - | NPPES |
| 4406729 | Medicaid | TN | |
| 0855626 | Other | KY | UMW PROV. GROUP NUMBER |
| 2152 | Other | KY | BLUE SHIELD |
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