| Family Health Care Clinic PSC | |
|
312 Jason Dr Suite 9 Richmond KY 40475-2785 | |
| (859) 626-9696 | |
| Not Available |
| Full Name | Family Health Care Clinic PSC |
|---|---|
| Speciality | Clinic/Center |
| Location | 312 Jason Dr, Richmond, Kentucky |
| Authorized Official Name and Position | Kay Stephens (OWNER) |
| Authorized Official Contact | 8596269696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Care Clinic PSC Po Box 35 Richmond KY 40476-0035 Ph: (859) 626-9696 | Family Health Care Clinic PSC 312 Jason Dr Suite 9 Richmond KY 40475-2785 Ph: (859) 626-9696 |
| NPI Number | 1073717286 |
|---|---|
| Provider Enumeration Date | 06/12/2007 |
| Last Update Date | 07/16/2014 |
| Medicare PECOS PAC ID | 7214927268 |
|---|---|
| Medicare Enrollment ID | O20040513000364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073717286 | NPI | - | NPPES |
| 35001890 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 900186 (Kentucky) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 3002572 (Kentucky) | Secondary |
| Provider Name | Bobbie M Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396958245 PECOS PAC ID: 7618962341 Enrollment ID: I20060222000720 |
| Provider Name | William Joseph Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720102312 PECOS PAC ID: 4688773310 Enrollment ID: I20091215000011 |
| Provider Name | Jessica M Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295148914 PECOS PAC ID: 2961622600 Enrollment ID: I20141001001762 |
| Provider Name | Alaina D Nevels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013460526 PECOS PAC ID: 8820383359 Enrollment ID: I20160823002880 |
| Provider Name | Charles King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790134948 PECOS PAC ID: 2466732813 Enrollment ID: I20161201000948 |
| Provider Name | Alicia Alvarado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720622715 PECOS PAC ID: 6800226507 Enrollment ID: I20200421001110 |
| Provider Name | Gwendolyn Perch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710644810 PECOS PAC ID: 1355736182 Enrollment ID: I20220315000481 |
| Provider Name | Loryn Elizabeth Cheek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235816810 PECOS PAC ID: 6002277985 Enrollment ID: I20230726000641 |
| Provider Name | Destiny Grove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053159749 PECOS PAC ID: 4284169442 Enrollment ID: I20241125001541 |
| Provider Name | Andrea Neace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730901414 PECOS PAC ID: 3173043213 Enrollment ID: I20250220000476 |
| Provider Name | Johnna Gay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528882636 PECOS PAC ID: 1153842422 Enrollment ID: I20250304001482 |
| Provider Name | Angel Birch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124826003 PECOS PAC ID: 2466962162 Enrollment ID: I20250611002287 |
| Provider Name | Autumn Bowling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437941390 PECOS PAC ID: 0042722969 Enrollment ID: I20250625002241 |
| Provider Name | Brandi Marshall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033864681 PECOS PAC ID: 4880199561 Enrollment ID: I20250924001511 |
| Provider Name | Gibb Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649137878 PECOS PAC ID: 3577030469 Enrollment ID: I20260429000133 |
| Provider Name | Hannah Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346107398 PECOS PAC ID: 6002386000 Enrollment ID: I20260601001360 |
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