| North Fork Valley Community Health Board, Inc. | |
|
59 Cowtown Rd Hindman KY 41822-9120 | |
| (606) 785-3175 | |
| Not Available |
| Full Name | North Fork Valley Community Health Board, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 59 Cowtown Rd, Hindman, Kentucky |
| Authorized Official Name and Position | Larry Quillen (CEO) |
| Authorized Official Contact | 6064391559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Fork Valley Community Health Board, Inc. 2333 Alumni Park Plz Suite 200 Lexington KY 40517-4012 Ph: (859) 257-7910 | North Fork Valley Community Health Board, Inc. 59 Cowtown Rd Hindman KY 41822-9120 Ph: (606) 785-3175 |
| NPI Number | 1831326115 |
|---|---|
| Provider Enumeration Date | 06/15/2009 |
| Last Update Date | 04/27/2010 |
| Medicare PECOS PAC ID | 5991704090 |
|---|---|
| Medicare Enrollment ID | O20090720000391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831326115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
University Of Kentucky Northfork Valley Coummunity Health Board, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 59 Cowtown Road, Hindman, KY 41822 Phone: 606-785-3175 | |
Lisa Triplett-short, Dmd, Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1970 Highway 160 S, Hindman, KY 41822 Phone: 606-785-0600 Fax: 606-785-0073 | |
East Ky Health Service Center Dental Clinic Medicare: Medicare Enrolled Practice Location: 566 Highway 899, Hindman, KY 41822 Phone: 606-785-3164 Fax: 606-785-0107 | |
University Of Kentucky Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 59 Cowtown Rd, Hindman, KY 41822 Phone: 606-439-1559 |