| Big Creek Arh Clinic | |
|
17644 South Highway 421 Big Creek KY 40914 | |
| (606) 598-6196 | |
| (606) 598-1340 |
| Full Name | Big Creek Arh Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 17644 South Highway 421, Big Creek, 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 |
|---|---|
| Big Creek Arh Clinic 17644 South Highway 421 Big Creek KY 40914 Ph: (606) 598-6196 | Big Creek Arh Clinic 17644 South Highway 421 Big Creek KY 40914 Ph: (606) 598-6196 |
| NPI Number | 1790060820 |
|---|---|
| Provider Enumeration Date | 10/20/2011 |
| Last Update Date | 06/08/2021 |
| Medicare PECOS PAC ID | 8123293818 |
|---|---|
| Medicare Enrollment ID | O20111209000165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790060820 | NPI | - | NPPES |
| 7100215330 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17644 S Hwy 421, Big Creek, KY 40914 Phone: 606-598-6196 Fax: 606-598-1340 |