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466 Burnley Rd Scottsville KY 42164-6355 | |
(270) 618-3700 | |
(270) 618-3772 |
Full Name | |
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Speciality | Clinic/Center |
Location | 466 Burnley Rd, Scottsville, Kentucky |
Authorized Official Name and Position | Michele Lawless (EXECUTIVE VICE PRESIDENT/CFO) |
Authorized Official Contact | 2707451500 |
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 3560 Bowling Green KY 42102-3560 Ph: (270) 618-3700 | 466 Burnley Rd Scottsville KY 42164-6355 Ph: (270) 618-3700 |
NPI Number | 1154483253 |
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Provider Enumeration Date | 12/14/2006 |
Last Update Date | 01/10/2023 |
Medicare PECOS PAC ID | 7719899947 |
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Medicare Enrollment ID | O20070510000432 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154483253 | NPI | - | NPPES |
7100016780 | Medicaid | KY | |
CG1846 | Other | KY | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | 900204 (Kentucky) | 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 | |