| Flat Lick Elementary School Based Health Clinic | |
|
110 Ky 3085 Flat Lick KY 40935-6461 | |
| (606) 543-4712 | |
| Not Available |
| Full Name | Flat Lick Elementary School Based Health Clinic |
|---|---|
| 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 |
|---|---|
| Flat Lick Elementary School Based Health Clinic 1019 Cumberland Falls Hwy Ste B201 Corbin KY 40701-2793 Ph: (606) 526-9005 | Flat Lick Elementary School Based Health Clinic 110 Ky 3085 Flat Lick KY 40935-6461 Ph: (606) 543-4712 |
| NPI Number | 1629583232 |
|---|---|
| Provider Enumeration Date | 12/05/2017 |
| Last Update Date | 06/28/2024 |
| Certification Date | 06/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629583232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
Dewitt Elementary School Based Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 138 Ky 718, Flat Lick, KY 40935 Phone: 606-542-4274 |