| Azalea Health & Skin Treatment Center Llc | |
|
1000 Ashland Dr Ste 303 Ashland KY 41101-7097 | |
| (606) 467-2360 | |
| (606) 467-2359 |
| Full Name | Azalea Health & Skin Treatment Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 Ashland Dr Ste 303, Ashland, Kentucky |
| Authorized Official Name and Position | Michael Basedow (OWNER) |
| Authorized Official Contact | 6064672360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Azalea Health & Skin Treatment Center Llc 1000 Ashland Dr Ste 303 Ashland KY 41101-7097 Ph: (606) 467-2360 | Azalea Health & Skin Treatment Center Llc 1000 Ashland Dr Ste 303 Ashland KY 41101-7097 Ph: (606) 467-2360 |
| NPI Number | 1407514532 |
|---|---|
| Provider Enumeration Date | 12/06/2021 |
| Last Update Date | 12/06/2021 |
| Medicare PECOS PAC ID | 9335531904 |
|---|---|
| Medicare Enrollment ID | O20220112001140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407514532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Michael Basedow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114467867 PECOS PAC ID: 7113344177 Enrollment ID: I20220112001189 |
Ovp Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2550 Carter Ave, Ashland, KY 41101 Phone: 304-429-1088 | |
George Carl Borst Iii Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1201 St.christopher Drive, Ashland, KY 41101 Phone: 606-324-1101 Fax: 606-324-0404 | |
Hazel Yang, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2025 Carter Ave, Ashland, KY 41101 Phone: 606-325-1894 Fax: 606-325-9193 | |
Malcolm H. King, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2301 Lexington Ave, Suite 205, Ashland, KY 41101 Phone: 606-325-9633 Fax: 606-325-9634 | |
Bellefonte Pediatrics, Ashland Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2910 Carter Ave, Ashland, KY 41101 Phone: 606-326-9001 Fax: 606-326-9005 | |
Kings Daughters - Boyd County High School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14375 Lions Ln, Ashland, KY 41102 Phone: 606-408-8920 Fax: 606-408-8908 | |
Eric F. Smith, Do Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 617 23rd St, Suite 130, Ashland, KY 41101 Phone: 606-329-2888 Fax: 606-329-2890 |