Three Rivers Medical Clinics Inc | |
412 N Lock Ave Louisa KY 41230-1115 | |
(606) 638-4595 | |
(606) 638-9471 |
Full Name | Three Rivers Medical Clinics Inc |
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Speciality | Clinic/Center |
Location | 412 N Lock Ave, Louisa, Kentucky |
Authorized Official Name and Position | Laura J Fey (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 6152213641 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Three Rivers Medical Clinics Inc Po Box 5009 Brentwood TN 37024-5009 Ph: (615) 221-1400 | Three Rivers Medical Clinics Inc 412 N Lock Ave Louisa KY 41230-1115 Ph: (606) 638-4595 |
NPI Number | 1376210047 |
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Provider Enumeration Date | 08/30/2021 |
Last Update Date | 08/30/2021 |
Medicare PECOS PAC ID | 7315845047 |
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Medicare Enrollment ID | O20211021002753 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376210047 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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