| Health Quest Medical Care Psc | |
|
2200 E Parrish Ave Suite 101c Owensboro KY 42303-1449 | |
| (270) 683-3073 | |
| Not Available |
| Full Name | Health Quest Medical Care Psc |
|---|---|
| Speciality | Surgery |
| Location | 2200 E Parrish Ave, Owensboro, Kentucky |
| Authorized Official Name and Position | Jennifer A Martin (PRESIDENT) |
| Authorized Official Contact | 2706833073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Quest Medical Care Psc 2200 E Parrish Ave Suite 101c Owensboro KY 42303-1449 Ph: (270) 683-3073 | Health Quest Medical Care Psc 2200 E Parrish Ave Suite 101c Owensboro KY 42303-1449 Ph: (270) 683-3073 |
| NPI Number | 1275582074 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 09/22/2014 |
| Medicare PECOS PAC ID | 0042221285 |
|---|---|
| Medicare Enrollment ID | O20060601000048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275582074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 012840 (Kentucky) | Secondary |
| 208600000X | Surgery | 40335 (Kentucky) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 3006106 (Kentucky) | Secondary |
| Provider Name | Jennifer A Martin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548281975 PECOS PAC ID: 5092715003 Enrollment ID: I20061221000379 |
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