| Audubon Gi Psc | |
|
1413 North Elm St Suite 105 Henderson KY 42420-4266 | |
| (270) 826-0002 | |
| (270) 826-0003 |
| Full Name | Audubon Gi Psc |
|---|---|
| Speciality | Specialist |
| Location | 1413 North Elm St, Henderson, Kentucky |
| Authorized Official Name and Position | Karen R. Canlas (PRESIDENT) |
| Authorized Official Contact | 2708260002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Audubon Gi Psc Po Box 1098 Henderson KY 42419-1098 Ph: (270) 826-0002 | Audubon Gi Psc 1413 North Elm St Suite 105 Henderson KY 42420-4266 Ph: (270) 826-0002 |
| NPI Number | 1639242613 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 01/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639242613 | NPI | - | NPPES |
| 000000047502 | Other | KY | BLUE CROSS BLUE SHIELD |
| 64187313 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 38601 (Kentucky) | Secondary |
| 174400000X | Specialist | 18731 (Kentucky) | Primary |
Methodist Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 N Elm St, Henderson, KY 42420 Phone: 270-827-7474 Fax: 270-830-4738 | |
Methodist Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 N Elm St Ste A, Henderson, KY 42420 Phone: 270-831-7937 Fax: 270-831-7939 | |
Deaconess Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 Starlite Dr, Henderson, KY 42420 Phone: 270-844-8027 Fax: 270-844-8183 | |
Regional Health Care Affiliates, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 472 Klutey Park Plaza Dr, Suite B, Henderson, KY 42420 Phone: 270-667-7017 | |
Deaconess Clinic, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Merritt Dr, Henderson, KY 42420 Phone: 270-827-0064 Fax: 270-826-3338 | |
T. Paul Wilder, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 8th St, Ste 4, Henderson, KY 42420 Phone: 270-827-8662 Fax: 270-826-8220 | |
Deaconess Specialty Physicians, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1305 N Elm St, Henderson, KY 42420 Phone: 270-831-7937 Fax: 270-831-7939 |