| Home Town Clinic | |
|
101 River Dr Irvine KY 40336-1117 | |
| (606) 726-0200 | |
| (606) 726-0226 |
| Full Name | Home Town Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 101 River Dr, Irvine, Kentucky |
| Authorized Official Name and Position | Joyce Lynn Puckett (OWNER) |
| Authorized Official Contact | 6067260200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Town Clinic 101 River Dr Irvine KY 40336-1117 Ph: (606) 726-0200 | Home Town Clinic 101 River Dr Irvine KY 40336-1117 Ph: (606) 726-0200 |
| NPI Number | 1851837017 |
|---|---|
| Provider Enumeration Date | 01/12/2017 |
| Last Update Date | 03/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851837017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
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