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217 W Main St Scottsville KY 42164-1122 | |
(270) 239-9355 | |
(270) 239-9356 |
Full Name | |
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Speciality | Family Medicine |
Location | 217 W Main St, Scottsville, Kentucky |
Authorized Official Name and Position | Ronald G. Sowell (EXECUTIVE VICE-PRESIDENT) |
Authorized Official Contact | 2707451536 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 2697 Bowling Green KY 42102-7697 Ph: (270) 745-1100 | 217 W Main St Scottsville KY 42164-1122 Ph: (270) 239-9355 |
NPI Number | 1821371980 |
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Provider Enumeration Date | 09/26/2011 |
Last Update Date | 12/12/2011 |
Identifier | Type | State | Issuer |
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1821371980 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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 | |