| Foothills- Community Based Interventions | |
|
80 Rolling Hills Blvd Monticello KY 42633-9005 | |
| (606) 343-0216 | |
| Not Available |
| Full Name | Foothills- Community Based Interventions |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 80 Rolling Hills Blvd, Monticello, Kentucky |
| Authorized Official Name and Position | Samantha Simmons (DIRECTOR) |
| Authorized Official Contact | 6063430216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothills- Community Based Interventions 80 Rolling Hills Blvd Monticello KY 42633-9005 Ph: (606) 343-0216 | Foothills- Community Based Interventions 80 Rolling Hills Blvd Monticello KY 42633-9005 Ph: (606) 343-0216 |
| NPI Number | 1306250782 |
|---|---|
| Provider Enumeration Date | 06/13/2014 |
| Last Update Date | 10/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306250782 | NPI | - | NPPES |
| 7100317630 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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