| Hodgenville Family Medicine | |
|
145 Lincoln Dr Ste 101 Hodgenville KY 42748-9706 | |
| (270) 979-3241 | |
| (270) 979-3844 |
| Full Name | Hodgenville Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 145 Lincoln Dr Ste 101, Hodgenville, Kentucky |
| Authorized Official Name and Position | Danyel D Clay (EXECUTIVE DIRECTOR REVENUE CYCLE) |
| Authorized Official Contact | 5022534911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hodgenville Family Medicine 5200 Commerce Crossings Dr Fl 3 Louisville KY 40229-2182 Ph: (502) 253-4911 | Hodgenville Family Medicine 145 Lincoln Dr Ste 101 Hodgenville KY 42748-9706 Ph: (270) 979-3241 |
| NPI Number | 1770188211 |
|---|---|
| Provider Enumeration Date | 12/02/2020 |
| Last Update Date | 04/22/2021 |
| Medicare PECOS PAC ID | 5597867184 |
|---|---|
| Medicare Enrollment ID | O20211117000576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770188211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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