| Glasscock Elementary Healthy Kids Clinic | |
|
773 E Main St Lebanon KY 40033-1701 | |
| (270) 692-3223 | |
| (270) 858-4029 |
| Full Name | Glasscock Elementary Healthy Kids Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 773 E Main St, Lebanon, Kentucky |
| Authorized Official Name and Position | Eric E Loy (CEO) |
| Authorized Official Contact | 2708586655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glasscock Elementary Healthy Kids Clinic Po Box 1080 Burkesville KY 42717-1080 Ph: (270) 858-6655 | Glasscock Elementary Healthy Kids Clinic 773 E Main St Lebanon KY 40033-1701 Ph: (270) 692-3223 |
| NPI Number | 1316506165 |
|---|---|
| Provider Enumeration Date | 06/06/2019 |
| Last Update Date | 06/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316506165 | NPI | - | NPPES |
| 7100017280 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Village Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 325 W Walnut St Ste 600, Lebanon, KY 40033 Phone: 270-699-9500 Fax: 270-699-9550 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Corporate Dr, Lebanon, KY 40033 Phone: 270-692-3441 Fax: 270-858-4029 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 W Main St, Lebanon, KY 40033 Phone: 270-692-3883 Fax: 270-858-4029 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3345 Highway 208, Lebanon, KY 40033 Phone: 270-692-3676 Fax: 270-858-4029 | |
Gregory W. Schall, Do, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 312 W High Street, Lebanon, KY 40033 Phone: 270-692-9559 Fax: 270-692-9236 | |
One Cross Community, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 429 W Walnut St, Lebanon, KY 40033 Phone: 270-789-0034 Fax: 270-789-0097 | |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1155 Hwy 327, Lebanon, KY 40033 Phone: 270-692-4902 Fax: 270-858-4029 |