| Eastern Ky Heatlhcare Center | |
|
8535 Ky Rt 122 Minnie KY 41651 | |
| (606) 478-4287 | |
| (606) 478-4288 |
| Full Name | Eastern Ky Heatlhcare Center |
|---|---|
| Speciality | Family Medicine |
| Location | 8535 Ky Rt 122, Minnie, Kentucky |
| Authorized Official Name and Position | Jack Kendrick (PHYSICIAN) |
| Authorized Official Contact | 6064784287 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Ky Heatlhcare Center Po Box 100 Minnie KY 41651-0100 Ph: (606) 478-4287 | Eastern Ky Heatlhcare Center 8535 Ky Rt 122 Minnie KY 41651 Ph: (606) 478-4287 |
| NPI Number | 1043346562 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043346562 | NPI | - | NPPES |
| ANTHEM BLUE CROSS | Other | KY | 000000336367 |
| DD7592 | Other | KY | PALMETTO GBA |
| 65941668 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 29774 (Kentucky) | Primary |
Floyd County Rural Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8324 Ky Route 122, Minnie, KY 41651 Phone: 606-949-1727 Fax: 606-949-1725 | |
Floyd County Rural Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8324 Ky Route 122, Minnie, KY 41651 Phone: 606-949-1727 Fax: 606-949-1725 |