| 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 | |
Maanya Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 116 Main St, Cadiz, KY 42211 Phone: 270-350-4504 | |
Cadiz Family Care Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 261 Main St, Cadiz, KY 42211 Phone: 270-522-9697 Fax: 270-522-9698 |