Women's Care For The Commonwealth | |
321 S 3rd St Building 2 Danville KY 40422-2090 | |
(859) 236-7712 | |
(859) 236-7246 |
Full Name | Women's Care For The Commonwealth |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 321 S 3rd St, Danville, Kentucky |
Authorized Official Name and Position | Eric E Loy (CEO) |
Authorized Official Contact | 2708641472 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Women's Care For The Commonwealth Po Box 1080 Burkesville KY 42717-1080 Ph: (270) 858-6644 | Women's Care For The Commonwealth 321 S 3rd St Building 2 Danville KY 40422-2090 Ph: (859) 236-7712 |
NPI Number | 1700336864 |
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Provider Enumeration Date | 10/12/2016 |
Last Update Date | 10/12/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700336864 | 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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