| Women's Care For The Commonwealth | |
|
333 S 3rd St Ste A Danville KY 40422-2016 | |
| (859) 236-7712 | |
| (859) 236-7246 |
| Full Name | Women's Care For The Commonwealth |
|---|---|
| Speciality | Clinic/Center |
| Location | 333 S 3rd St, Danville, Kentucky |
| Authorized Official Name and Position | Eric E Loy (CEO) |
| Authorized Official Contact | 2708641472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Women's Care For The Commonwealth Po Box 1080 Burkesville KY 42717-1080 Ph: (270) 858-6644 | Women's Care For The Commonwealth 333 S 3rd St Ste A Danville KY 40422-2016 Ph: (859) 236-7712 |
| NPI Number | 1215918917 |
|---|---|
| Provider Enumeration Date | 11/09/2005 |
| Last Update Date | 10/07/2016 |
| Medicare PECOS PAC ID | 6305947789 |
|---|---|
| Medicare Enrollment ID | O20160715001301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215918917 | NPI | - | NPPES |
| 700172 | Other | KY | STATE LICENSE |
| 7100017280 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700172 (Kentucky) | Primary |
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