| Creekside Family Medical Center,psc | |
|
83 W Main St Taylorsville KY 40071-8616 | |
| (502) 477-1955 | |
| (502) 477-5524 |
| Full Name | Creekside Family Medical Center,psc |
|---|---|
| Speciality | Family Medicine |
| Location | 83 W Main St, Taylorsville, Kentucky |
| Authorized Official Name and Position | Thomas Cecil Crain (OWNER) |
| Authorized Official Contact | 5024771955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekside Family Medical Center,psc Po Box 529 Taylorsville KY 40071-0529 Ph: (502) 477-1955 | Creekside Family Medical Center,psc 83 W Main St Taylorsville KY 40071-8616 Ph: (502) 477-1955 |
| NPI Number | 1861453524 |
|---|---|
| Provider Enumeration Date | 03/31/2006 |
| Last Update Date | 11/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861453524 | NPI | - | NPPES |
| 65937534 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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