| Community Family Clinic Pllc | |
|
17 Miller Drive Owingsville KY 40360-2212 | |
| (606) 674-3033 | |
| Not Available |
| Full Name | Community Family Clinic Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 17 Miller Drive, Owingsville, Kentucky |
| Authorized Official Name and Position | Taufik Kassis (OWNER) |
| Authorized Official Contact | 6067689190 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Family Clinic Pllc 784 Highway 36 Frenchburg KY 40322-8123 Ph: (606) 768-9190 | Community Family Clinic Pllc 17 Miller Drive Owingsville KY 40360-2212 Ph: (606) 674-3033 |
| NPI Number | 1518302892 |
|---|---|
| Provider Enumeration Date | 05/01/2013 |
| Last Update Date | 07/20/2023 |
| Medicare PECOS PAC ID | 7214940790 |
|---|---|
| Medicare Enrollment ID | O20130715000034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518302892 | NPI | - | NPPES |
| 7100263730 | Medicaid | KY |
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