| Arh Medical Mall Family Specialty Clinic | |
|
210 Black Gold Blvd Hazard KY 41701-2620 | |
| (606) 487-7000 | |
| Not Available |
| Full Name | Arh Medical Mall Family Specialty Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 210 Black Gold Blvd, Hazard, Kentucky |
| Authorized Official Name and Position | Hollie Harris (PRESIDENT AND CEO) |
| Authorized Official Contact | 8592262511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arh Medical Mall Family Specialty Clinic 100 Airport Gardens Rd Hazard KY 41701-9529 Ph: (606) 216-5145 | Arh Medical Mall Family Specialty Clinic 210 Black Gold Blvd Hazard KY 41701-2620 Ph: (606) 487-7000 |
| NPI Number | 1407420698 |
|---|---|
| Provider Enumeration Date | 05/13/2021 |
| Last Update Date | 05/17/2021 |
| Medicare PECOS PAC ID | 0840107835 |
|---|---|
| Medicare Enrollment ID | O20210628002074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407420698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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