| Chic | |
|
920 Richmond Rd Irvine KY 40336-7230 | |
| (606) 717-0177 | |
| Not Available |
| Full Name | Chic |
|---|---|
| Speciality | Clinic/Center |
| Location | 920 Richmond Rd, Irvine, Kentucky |
| Authorized Official Name and Position | Jennifer Maupin (OWNER) |
| Authorized Official Contact | 8592004513 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chic 920 Richmond Rd Irvine KY 40336-7230 | Chic 920 Richmond Rd Irvine KY 40336-7230 Ph: (606) 717-0177 |
| NPI Number | 1760185003 |
|---|---|
| Provider Enumeration Date | 03/24/2023 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Medicare PECOS PAC ID | 1557722683 |
|---|---|
| Medicare Enrollment ID | O20230804001427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760185003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
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