| Tru Healthcare | |
|
1102 S Main St London KY 40741-1529 | |
| (606) 770-5121 | |
| (606) 770-5199 |
| Full Name | Tru Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 1102 S Main St, London, Kentucky |
| Authorized Official Name and Position | Reagen Loughran (OWNER/MEMBER) |
| Authorized Official Contact | 6068628917 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tru Healthcare 1102 S Main St London KY 40741-1529 Ph: (606) 770-5121 | Tru Healthcare 1102 S Main St London KY 40741-1529 Ph: (606) 770-5121 |
| NPI Number | 1821482118 |
|---|---|
| Provider Enumeration Date | 03/24/2015 |
| Last Update Date | 08/29/2022 |
| Medicare PECOS PAC ID | 6305150954 |
|---|---|
| Medicare Enrollment ID | O20150727002968 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821482118 | NPI | - | NPPES |
| B0-3893 | Other | KY | CMS CERT# FOR RURAL HEALTH CLINIC DESIGNATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Carla R Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629080148 PECOS PAC ID: 4587612239 Enrollment ID: I20050110000273 |
| Provider Name | Reagen M Loughran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821277518 PECOS PAC ID: 1759466410 Enrollment ID: I20080306000030 |
| Provider Name | Teresa Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275126617 PECOS PAC ID: 9234537820 Enrollment ID: I20230727002701 |
| Provider Name | Judy Carol Bailey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396430641 PECOS PAC ID: 3870944242 Enrollment ID: I20240110001817 |
| Provider Name | Stephen George Sigrimis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255966172 PECOS PAC ID: 4981044401 Enrollment ID: I20240501002780 |
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