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110 Ky 3085 Flat Lick KY 40935-6461 | |
(606) 543-4712 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 110 Ky 3085, Flat Lick, Kentucky |
Authorized Official Name and Position | Chad Stevens (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 6065269005 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1019 Cumberland Falls Hwy Ste B201 Corbin KY 40701-2793 Ph: (606) 526-9005 | 110 Ky 3085 Flat Lick KY 40935-6461 Ph: (606) 543-4712 |
NPI Number | 1629583232 |
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Provider Enumeration Date | 12/05/2017 |
Last Update Date | 06/28/2024 |
Identifier | Type | State | Issuer |
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1629583232 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |