Winchester Family Practice, Psc | |
1110 Mccann Dr Suite B Winchester KY 40391-1157 | |
(859) 744-1445 | |
(859) 744-1442 |
Full Name | Winchester Family Practice, Psc |
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Speciality | Family Medicine |
Location | 1110 Mccann Dr, Winchester, Kentucky |
Authorized Official Name and Position | Amina Shalash (OWNER) |
Authorized Official Contact | 8597441445 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Winchester Family Practice, Psc 1110 Mccann Drive Suite B Winchester KY 40391 Ph: (859) 744-1445 | Winchester Family Practice, Psc 1110 Mccann Dr Suite B Winchester KY 40391-1157 Ph: (859) 744-1445 |
NPI Number | 1528094281 |
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Provider Enumeration Date | 06/24/2006 |
Last Update Date | 02/15/2008 |
Medicare PECOS PAC ID | 9638088388 |
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Medicare Enrollment ID | O20030206000030 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528094281 | NPI | - | NPPES |
35001445 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 36085 (Kentucky) | Primary |
Nuyu Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4925 Rockwell Road, Winchester, KY 40391 Phone: 859-744-1061 Fax: 859-744-1062 | |
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