| Dina Holland, | |
|
226 Hopkinsville St, Greenville, KY 42345-1214 | |
| (270) 377-3077 | |
| (270) 377-3002 |
| Full Name | Dina Holland |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 226 Hopkinsville St, Greenville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003293812 | NPI | - | NPPES |
| 31000458 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3678 (Kentucky) | Primary |
| Entity Name | Community Health Centers Of Western Kentucky, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306848650 PECOS PAC ID: 5193769370 Enrollment ID: O20050617000877 |
| Mailing Address | Practice Location Address |
|---|---|
| Dina Holland, 480 Hopkinsville St, Greenville, KY 42345-1124 Ph: (270) 338-5777 | Dina Holland, 226 Hopkinsville St, Greenville, KY 42345-1214 Ph: (270) 377-3077 |
Mr. Randy A Hultberg, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 506 Hopkinsville St, Greenville, KY 42345 Phone: 270-338-5211 Fax: 270-338-1624 | |
David Brown, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 506 Hopkinsville St, Greenville, KY 42345 Phone: 270-338-5211 Fax: 270-338-1624 | |
Nancy Elaine Floyd, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 504 Hopkinsville St, Greenville, KY 42345 Phone: 270-338-6488 Fax: 270-338-7868 | |
Donald Vannatta, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 506 Hopkinsville St, Greenville, KY 42345 Phone: 270-338-5211 Fax: 270-338-1624 |