| Vitae Health Clinical Services Kentucky Llc | |
|
1333 W Main St Princeton KY 42445-6211 | |
| (270) 365-3541 | |
| (270) 365-5064 |
| Full Name | Vitae Health Clinical Services Kentucky Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1333 W Main St, Princeton, Kentucky |
| Authorized Official Name and Position | Amish Patel (PRESIDENT) |
| Authorized Official Contact | 2247778045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitae Health Clinical Services Kentucky Llc 415 W Golf Rd Ste 26 Arlington Heights IL 60005-3923 Ph: (224) 777-8045 | Vitae Health Clinical Services Kentucky Llc 1333 W Main St Princeton KY 42445-6211 Ph: (270) 365-3541 |
| NPI Number | 1275219602 |
|---|---|
| Provider Enumeration Date | 06/22/2023 |
| Last Update Date | 06/22/2023 |
| Certification Date | 06/22/2023 |
| Medicare PECOS PAC ID | 9739541186 |
|---|---|
| Medicare Enrollment ID | O20230816002650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275219602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Zahra Shariff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538260492 PECOS PAC ID: 8527084128 Enrollment ID: I20200409002438 |
Harris Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 E Washington St, Princeton, KY 42445 Phone: 270-681-5420 | |
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