| Carson Black Lung Center Of Pineville, Inc. | |
|
820 Robert L. Maddon Bypass Third Fl Pineville KY 40977-1452 | |
| (606) 337-3051 | |
| Not Available |
| Full Name | Carson Black Lung Center Of Pineville, Inc. |
|---|---|
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 820 Robert L. Maddon Bypass Third Fl, Pineville, Kentucky |
| Authorized Official Name and Position | Rodney Terry (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 6062440480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carson Black Lung Center Of Pineville, Inc. Po Box 188 Pineville KY 40977-0188 Ph: (606) 244-0480 | Carson Black Lung Center Of Pineville, Inc. 820 Robert L. Maddon Bypass Third Fl Pineville KY 40977-1452 Ph: (606) 337-3051 |
| NPI Number | 1083192595 |
|---|---|
| Provider Enumeration Date | 08/06/2018 |
| Last Update Date | 09/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083192595 | NPI | - | NPPES |
| 627952600 | Other | OWCP |
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Pineville Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 W Virginia Ave, Pineville, KY 40977 Phone: 606-337-3051 Fax: 606-337-2871 | |
Pine Mountain Clinic Psc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 850 Riverview Rd, Pineville, KY 40977 Phone: 606-337-6047 Fax: 606-337-0925 | |
Jerry L. Woolum, M.d., P.s.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Virginia Avenue, Suite F200, Pineville, KY 40977 Phone: 606-337-0860 Fax: 606-337-9956 |