| Family Practice Clinic Of Booneville, Inc. | |
|
200 Mulberry St Suite A Booneville KY 41314-7505 | |
| (606) 593-6023 | |
| (606) 593-6087 |
| Full Name | Family Practice Clinic Of Booneville, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 Mulberry St, Booneville, Kentucky |
| Authorized Official Name and Position | Kim Cox (OWNER OPERATOR) |
| Authorized Official Contact | 6065936023 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Clinic Of Booneville, Inc. Po Box 737 200 Mulberry Street, Suite A Booneville KY 41314-0737 Ph: (606) 593-6023 | Family Practice Clinic Of Booneville, Inc. 200 Mulberry St Suite A Booneville KY 41314-7505 Ph: (606) 593-6023 |
| NPI Number | 1326152109 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 12/22/2015 |
| Medicare PECOS PAC ID | 6406764612 |
|---|---|
| Medicare Enrollment ID | O20021210000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326152109 | NPI | - | NPPES |
| 7100159610 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Mountain Comprehensive Health Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 826 Ky 11 N, Booneville, KY 41314 Phone: 606-593-6395 Fax: 606-593-5916 | |
Jackson Physician Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Hwy 11 South, Booneville, KY 41314 Phone: 606-693-0531 Fax: 606-693-0535 | |
Mountain Comprehensive Health Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 177 Shepherd Rd Ste A, Booneville, KY 41314 Phone: 606-593-6006 | |
Mountain Comprehensive Health Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 372 Ky 28 Ste A, Booneville, KY 41314 Phone: 606-593-7888 | |
Juniper Health Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10355 Highway 30 W, Booneville, KY 41314 Phone: 606-464-0151 Fax: 606-464-0152 |