Womens Care Of The Blugrass-shelbyville | |
615 11th St Shelbyville KY 40065-1435 | |
(270) 692-2774 | |
(270) 692-3559 |
Full Name | Womens Care Of The Blugrass-shelbyville |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 615 11th St, Shelbyville, 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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Womens Care Of The Blugrass-shelbyville Po Box 1080 Burkeville KY 42717-1080 Ph: (270) 858-6655 | Womens Care Of The Blugrass-shelbyville 615 11th St Shelbyville KY 40065-1435 Ph: (270) 692-2774 |
NPI Number | 1174166011 |
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Provider Enumeration Date | 10/23/2019 |
Last Update Date | 10/25/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174166011 | NPI | - | NPPES |
7100017280 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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