| |
2200 Menelaus Rd Berea KY 40403-9748 | |
(859) 228-1568 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 2200 Menelaus Rd, Berea, Kentucky |
Authorized Official Name and Position | Jonathan B Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | 2200 Menelaus Rd Berea KY 40403-9748 Ph: (859) 228-1568 |
NPI Number | 1710652326 |
---|---|
Provider Enumeration Date | 08/16/2021 |
Last Update Date | 08/15/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710652326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Department Of Veterans Affairs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Pauline Dr, Berea, KY 40403 Phone: 859-233-4511 Fax: 859-986-1289 | |
Berea Health Ministry, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Estill Street, Berea, KY 40403 Phone: 859-986-1274 Fax: 859-986-1279 | |
Everside Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Mayde Rd, Berea, KY 40403 Phone: 859-986-2359 |