| |
810 Jamestown St Columbia KY 42728-1010 | |
(270) 384-4753 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 810 Jamestown St, Columbia, Kentucky |
Authorized Official Name and Position | Rex A Tungate (CEO) |
Authorized Official Contact | 2703844753 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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810 Jamestown St Columbia KY 42728-1010 Ph: (270) 384-4753 | 810 Jamestown St Columbia KY 42728-1010 Ph: (270) 384-4753 |
NPI Number | 1013187228 |
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Provider Enumeration Date | 03/04/2008 |
Last Update Date | 03/04/2008 |
Identifier | Type | State | Issuer |
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1013187228 | NPI | - | NPPES |
65909913 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
T J Health Columbia Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 901 Westlake Dr, Columbia, KY 42728 Phone: 270-384-4753 Fax: 270-384-6228 | |
Grant Chiropractic Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 908 Russell Rd, Columbia, KY 42728 Phone: 270-384-3271 Fax: 270-384-3271 |