| East Ky Health Service Center | |
|
566 Highway 899 Hindman KY 41822-0849 | |
| (606) 785-3164 | |
| (606) 785-0107 |
| Full Name | East Ky Health Service Center |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 566 Highway 899, Hindman, Kentucky |
| Authorized Official Name and Position | Benny Ray Bailey (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6067853164 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Ky Health Service Center Po Box 849 566 Hwy 899 Hindman KY 41822-0849 Ph: (606) 785-3164 | East Ky Health Service Center 566 Highway 899 Hindman KY 41822-0849 Ph: (606) 785-3164 |
| NPI Number | 1376648139 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 06/10/2021 |
| Medicare PECOS PAC ID | 6901844711 |
|---|---|
| Medicare Enrollment ID | O20050421001269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376648139 | NPI | - | NPPES |
| 65924300 | Medicaid | KY |
| Provider Name | Warren G Stumbo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336274596 PECOS PAC ID: 1254379068 Enrollment ID: I20050421001285 |
| Provider Name | Melissa Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336571298 PECOS PAC ID: 4486878154 Enrollment ID: I20140619001297 |
| Provider Name | Jaimee Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730763988 PECOS PAC ID: 2062817554 Enrollment ID: I20210820003091 |
| Provider Name | Christopher Warren Stumbo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962962548 PECOS PAC ID: 3971996141 Enrollment ID: I20220210002131 |
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