| East Bernstadt Medical Clinic Pllc | |
|
2659 N Laurel Rd London KY 40741-9075 | |
| (606) 843-6195 | |
| (606) 843-6222 |
| Full Name | East Bernstadt Medical Clinic Pllc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 2659 N Laurel Rd, London, Kentucky |
| Authorized Official Name and Position | Carla Jean Johnson (BILLING/CREDENTIALING CLERK) |
| Authorized Official Contact | 6068436195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Bernstadt Medical Clinic Pllc 2659 N Laurel Rd London KY 40741-9075 Ph: (606) 843-6195 | East Bernstadt Medical Clinic Pllc 2659 N Laurel Rd London KY 40741-9075 Ph: (606) 843-6195 |
| NPI Number | 1245299585 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 10/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245299585 | NPI | - | NPPES |
| 65907750 | Medicaid | KY | |
| 7100163280 | Medicaid | KY | |
| 7100045270 | Medicaid | KY | |
| 7100048870 | Medicaid | KY | |
| 7100163300 | Medicaid | KY | |
| 7100163320 | Medicaid | KY |
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