| Kentuckycare153 | |
|
750 Us Highway 60 W Smithland KY 42081-8983 | |
| (270) 928-2065 | |
| Not Available |
| Full Name | Kentuckycare153 |
|---|---|
| Speciality | Clinic/Center |
| Location | 750 Us Highway 60 W, Smithland, 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 |
|---|---|
| Kentuckycare153 Po Box 497 Augusta AR 72006-0497 Ph: (870) 347-2534 | Kentuckycare153 750 Us Highway 60 W Smithland KY 42081-8983 Ph: (270) 928-2065 |
| NPI Number | 1073189445 |
|---|---|
| Provider Enumeration Date | 05/27/2021 |
| Last Update Date | 05/27/2021 |
| Certification Date | 05/27/2021 |
| Medicare PECOS PAC ID | 2567370620 |
|---|---|
| Medicare Enrollment ID | O20210825003354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073189445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
Smithland Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 E Adair Street, Smithland, KY 42081 Phone: 270-928-2146 Fax: 270-928-4492 |
Kentuckycare151 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 850 Cutoff Rd, Smithland, KY 42081 Phone: 270-928-3500 |
Smithland Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 E Adair St, Smithland, KY 42081 Phone: 270-928-2146 Fax: 270-928-4492 |