| |
360 Keen St Burkesville KY 42717-7915 | |
(270) 864-2889 | |
(270) 864-2229 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 360 Keen St, Burkesville, Kentucky |
Authorized Official Name and Position | Eric E Loy (CEO) |
Authorized Official Contact | 2408641472 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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P O Box 1080 Burkesville KY 42717-1080 Ph: (270) 864-1472 | 360 Keen St Burkesville KY 42717-7915 Ph: (270) 864-2889 |
NPI Number | 1881955763 |
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Provider Enumeration Date | 06/06/2012 |
Last Update Date | 01/18/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881955763 | NPI | - | NPPES |
7100017280 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700172 (Kentucky) | Primary |
Loy Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 Keen St, Burkesville, KY 42717 Phone: 270-864-2889 Fax: 270-864-2229 |