| |
512 Saffell St Lawrenceburg KY 40342-1253 | |
(502) 227-2229 | |
(502) 227-1114 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 512 Saffell St, Lawrenceburg, Kentucky |
Authorized Official Name and Position | Eric E Loy (CEO) |
Authorized Official Contact | 2708586655 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1080 Burkesville KY 42717-1080 Ph: (270) 864-1472 | 512 Saffell St Lawrenceburg KY 40342-1253 Ph: (502) 227-2229 |
NPI Number | 1811304496 |
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Provider Enumeration Date | 07/16/2014 |
Last Update Date | 04/19/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811304496 | NPI | - | NPPES |
7100017280 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700172 (Kentucky) | Primary |
Fast Pace Kentucky, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1000 W Park Dr, Lawrenceburg, KY 40342 Phone: 931-253-1110 | |
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