| Corbin School Of Innovation | |
|
200 W 8th St Corbin KY 40701-1900 | |
| (606) 523-3619 | |
| Not Available |
| Full Name | Corbin School Of Innovation |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 200 W 8th St, Corbin, Kentucky |
| Authorized Official Name and Position | Michael W. Stanley (C.E.O.) |
| Authorized Official Contact | 6065269005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corbin School Of Innovation 1019 Cumberland Falls Hwy Suite B201 Corbin KY 40701-2735 Ph: (606) 526-9005 | Corbin School Of Innovation 200 W 8th St Corbin KY 40701-1900 Ph: (606) 523-3619 |
| NPI Number | 1457871022 |
|---|---|
| Provider Enumeration Date | 06/23/2017 |
| Last Update Date | 12/11/2019 |
| Certification Date | 12/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457871022 | NPI | - | NPPES |
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