| Physicians to Children & Adolescents P.s.c | |
|
102 W Depot St Springfield KY 40069-1159 | |
| (502) 348-6309 | |
| Not Available |
| Full Name | Physicians to Children & Adolescents P.s.c |
|---|---|
| Speciality | Clinic/Center |
| Location | 102 W Depot St, Springfield, Kentucky |
| Authorized Official Name and Position | Mary Jo Nalley (CFO) |
| Authorized Official Contact | 5023487554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians to Children & Adolescents P.s.c 201 S 5th St Bardstown KY 40004-1142 Ph: (502) 348-6309 | Physicians to Children & Adolescents P.s.c 102 W Depot St Springfield KY 40069-1159 Ph: (502) 348-6309 |
| NPI Number | 1639654809 |
|---|---|
| Provider Enumeration Date | 10/03/2018 |
| Last Update Date | 10/03/2018 |
| Medicare PECOS PAC ID | 4880687862 |
|---|---|
| Medicare Enrollment ID | O20190107000287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639654809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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