| Agape Health Center | |
|
1732 Old Gallatin Rd Scottsville KY 42164-8900 | |
| (270) 239-1400 | |
| (270) 239-1402 |
| Full Name | Agape Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1732 Old Gallatin Rd, Scottsville, Kentucky |
| Authorized Official Name and Position | Karen Wilson Foster (CEO) |
| Authorized Official Contact | 2702391400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Health Center 1732 Old Gallatin Rd Scottsville KY 42164-8900 Ph: (270) 239-1400 | Agape Health Center 1732 Old Gallatin Rd Scottsville KY 42164-8900 Ph: (270) 239-1400 |
| NPI Number | 1447623566 |
|---|---|
| Provider Enumeration Date | 11/11/2015 |
| Last Update Date | 02/16/2022 |
| Medicare PECOS PAC ID | 7113224221 |
|---|---|
| Medicare Enrollment ID | O20160404001738 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447623566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3006385 (Kentucky) | Primary |
| Provider Name | Karen W Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275867962 PECOS PAC ID: 6507994282 Enrollment ID: I20100518000126 |
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