Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 214 Main St, Cadiz, Kentucky |
Authorized Official Name and Position | Kim Huntsman (PHYSICIAN PRACTICE MANAGER) |
Authorized Official Contact | 2705220898 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
214 Main St Cadiz KY 42211-9153 Ph: (270) 522-0898 | 214 Main St Cadiz KY 42211-9153 Ph: (270) 522-0898 |
NPI Number | 1548392764 |
---|---|
Provider Enumeration Date | 03/12/2007 |
Last Update Date | 07/25/2024 |
Medicare PECOS PAC ID | 5193620805 |
---|---|
Medicare Enrollment ID | O20070417000008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548392764 | NPI | - | NPPES |
35000447 | Medicaid | KY | |
56982 | Other | KY | ANTHEM BCBS |
000000056982 | Other | KY | ANTHEM BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Infinity Family Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 Commerce St, Cadiz, KY 42211 Phone: 270-512-2512 | |
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