| Hope | |
|
106 Cemetery Rd Lebanon KY 40033-1827 | |
| (270) 401-1104 | |
| Not Available |
| Full Name | Hope |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 106 Cemetery Rd, Lebanon, Kentucky |
| Authorized Official Name and Position | Tammy Lynn Mattingly (OWNER) |
| Authorized Official Contact | 2704025601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope 106 Cemetery Rd Lebanon KY 40033-1827 Ph: (270) 401-1104 | Hope 106 Cemetery Rd Lebanon KY 40033-1827 Ph: (270) 401-1104 |
| NPI Number | 1356893630 |
|---|---|
| Provider Enumeration Date | 11/02/2016 |
| Last Update Date | 12/17/2020 |
| Certification Date | 12/17/2020 |
| Medicare PECOS PAC ID | 6305259912 |
|---|---|
| Medicare Enrollment ID | O20201228001722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356893630 | NPI | - | NPPES |
| Provider Name | Brittanie Landis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356896211 PECOS PAC ID: 1456774975 Enrollment ID: I20200630003187 |
| Provider Name | Mary K Miles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235485707 PECOS PAC ID: 4284047622 Enrollment ID: I20210104002013 |
| Provider Name | Martie B Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306468350 PECOS PAC ID: 2961841861 Enrollment ID: I20240411001754 |
| Provider Name | Tammy Mattingly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063776037 PECOS PAC ID: 0749693182 Enrollment ID: I20240412000479 |
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 |
Marion County Knight Academy Healthy Kids Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Corporate Dr, Lebanon, KY 40033 Phone: 270-692-3441 Fax: 270-858-4029 |
Spring View Physician Practices, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 420 N Loretto Rd Ste 500, Lebanon, KY 40033 Phone: 270-692-5272 Fax: 270-692-5285 |
Lebanon Elementary Healthy Kids Clinic 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 |
Calvary Elementary Healthy Kids Clinic 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 |