| Crofton Clinic Psc | |
|
241 S Madisonville St Crofton KY 42217-8009 | |
| (270) 220-0420 | |
| Not Available |
| Full Name | Crofton Clinic Psc |
|---|---|
| Speciality | Clinic/Center |
| Location | 241 S Madisonville St, Crofton, Kentucky |
| Authorized Official Name and Position | Manoj Majmudar (OWNER) |
| Authorized Official Contact | 2702200240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crofton Clinic Psc 241 S Madisonville St Crofton KY 42217-8009 Ph: (270) 220-0240 | Crofton Clinic Psc 241 S Madisonville St Crofton KY 42217-8009 Ph: (270) 220-0420 |
| NPI Number | 1194253245 |
|---|---|
| Provider Enumeration Date | 06/01/2017 |
| Last Update Date | 03/01/2018 |
| Medicare PECOS PAC ID | 8729357983 |
|---|---|
| Medicare Enrollment ID | O20170630001481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194253245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |