| White House Clinics | |
|
116 Progress Dr Mount Vernon KY 40456 | |
| (606) 256-2143 | |
| Not Available |
| Full Name | White House Clinics |
|---|---|
| Speciality | Clinic/Center |
| Location | 116 Progress Dr, Mount Vernon, Kentucky |
| Authorized Official Name and Position | Jenny Sargent (CREDENTIALER) |
| Authorized Official Contact | 8596267700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| White House Clinics 1010 Main St S Mc Kee KY 40447-7089 Ph: (859) 626-7700 | White House Clinics 116 Progress Dr Mount Vernon KY 40456 Ph: (606) 256-2143 |
| NPI Number | 1437407723 |
|---|---|
| Provider Enumeration Date | 08/17/2012 |
| Last Update Date | 07/17/2018 |
| Medicare PECOS PAC ID | 8224946561 |
|---|---|
| Medicare Enrollment ID | O20121029000146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437407723 | NPI | - | NPPES |
| 31000243 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700030 (Kentucky) | Primary |
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