| Kentuckycare39 | |
|
308 S Washington St Ste 200 Clinton KY 42031-1347 | |
| (270) 913-2478 | |
| (270) 913-2479 |
| Full Name | Kentuckycare39 |
|---|---|
| Speciality | Clinic/Center |
| Location | 308 S Washington St Ste 200, Clinton, Kentucky |
| Authorized Official Name and Position | Steven Collier (CEO) |
| Authorized Official Contact | 8703473300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentuckycare39 Po Box 497 Augusta AR 72006-0497 Ph: (870) 347-2534 | Kentuckycare39 308 S Washington St Ste 200 Clinton KY 42031-1347 Ph: (270) 913-2478 |
| NPI Number | 1477263549 |
|---|---|
| Provider Enumeration Date | 11/30/2022 |
| Last Update Date | 11/30/2022 |
| Certification Date | 11/30/2022 |
| Medicare PECOS PAC ID | 2567370620 |
|---|---|
| Medicare Enrollment ID | O20230418001553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477263549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
Jo-ann N. Bolli, M. D., P.S.C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 S Washington St, Suite 201, Clinton, KY 42031 Phone: 270-653-4070 Fax: 270-653-4007 |
Clinton Hickman Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 W Clay St, Clinton, KY 42031 Phone: 270-653-6277 Fax: 270-653-4097 |
Clinton-hickman County Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 351 Moss Dr, Clinton, KY 42031 Phone: 270-653-6277 |
Jackson Purchase Primary Care - Clinton Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 106 W Clay St, Clinton, KY 42031 Phone: 270-653-0220 Fax: 270-653-0221 |
Communtiy Healthcare of Western Kentucky LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308 South Washington Street Suite 200, Clinton, KY 42031 Phone: 270-653-0220 Fax: 270-653-0221 |