| Emerald Healthcare Group | |
|
2520 New Holt Rd Ste I Paducah KY 42001-7547 | |
| (270) 558-3916 | |
| Not Available |
| Full Name | Emerald Healthcare Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 2520 New Holt Rd Ste I, Paducah, Kentucky |
| Authorized Official Name and Position | Shelly Baer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2705345128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Healthcare Group 5050 Village Square Dr Ste B Paducah KY 42001-7552 Ph: (502) 565-9737 | Emerald Healthcare Group 2520 New Holt Rd Ste I Paducah KY 42001-7547 Ph: (270) 558-3916 |
| NPI Number | 1023715281 |
|---|---|
| Provider Enumeration Date | 02/08/2023 |
| Last Update Date | 07/15/2023 |
| Medicare PECOS PAC ID | 6103241211 |
|---|---|
| Medicare Enrollment ID | O20200806002593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023715281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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