| East Ky After Hours Clinic | |
|
255 Church St Ste 102b Pikeville KY 41501-3476 | |
| (606) 218-6011 | |
| (606) 218-6082 |
| Full Name | East Ky After Hours Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 255 Church St Ste 102b, Pikeville, Kentucky |
| Authorized Official Name and Position | James Hager (OWNER PRESIDENT) |
| Authorized Official Contact | 6062186011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Ky After Hours Clinic Po Box 1433 Pikeville KY 41502-1433 Ph: (606) 218-6011 | East Ky After Hours Clinic 255 Church St Ste 102b Pikeville KY 41501-3476 Ph: (606) 218-6011 |
| NPI Number | 1629114707 |
|---|---|
| Provider Enumeration Date | 01/29/2007 |
| Last Update Date | 05/10/2024 |
| Medicare PECOS PAC ID | 9931114766 |
|---|---|
| Medicare Enrollment ID | O20060215000078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629114707 | NPI | - | NPPES |
| Provider Name | James Robert Hager |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1386617322 PECOS PAC ID: 8224066113 Enrollment ID: I20050802000052 |
| Provider Name | Shirley A Goff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386834273 PECOS PAC ID: 7416041876 Enrollment ID: I20070917000520 |
| Provider Name | Bethany S Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962740969 PECOS PAC ID: 3476708363 Enrollment ID: I20130226000219 |
| Provider Name | Crystal D Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457725756 PECOS PAC ID: 2769783786 Enrollment ID: I20151216002753 |
| Provider Name | Andrea Jade Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649751546 PECOS PAC ID: 8820349251 Enrollment ID: I20180925002123 |
| Provider Name | Jessica Dawn Blackburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174159156 PECOS PAC ID: 4688084528 Enrollment ID: I20210825001543 |
| Provider Name | Kasandra C Keeslar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568122463 PECOS PAC ID: 7113310921 Enrollment ID: I20220131000636 |
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