| Hopkinsville Family Care Psc | |
|
315a W 16th St Hopkinsville KY 42240-1903 | |
| (270) 220-0366 | |
| Not Available |
| Full Name | Hopkinsville Family Care Psc |
|---|---|
| Speciality | Clinic/Center |
| Location | 315a W 16th St, Hopkinsville, Kentucky |
| Authorized Official Name and Position | Manoj H Majmudar (CEO) |
| Authorized Official Contact | 2702200366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hopkinsville Family Care Psc Po Box 4005 Hopkinsville KY 42241-4005 Ph: (270) 220-0366 | Hopkinsville Family Care Psc 315a W 16th St Hopkinsville KY 42240-1903 Ph: (270) 220-0366 |
| NPI Number | 1760980544 |
|---|---|
| Provider Enumeration Date | 01/26/2018 |
| Last Update Date | 01/26/2018 |
| Medicare PECOS PAC ID | 1759642432 |
|---|---|
| Medicare Enrollment ID | O20180220001464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760980544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Gary G Spencer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740282714 PECOS PAC ID: 6709850571 Enrollment ID: I20040826000065 |
| Provider Name | Manoj H Majmudar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659336097 PECOS PAC ID: 7113981168 Enrollment ID: I20041118000661 |
| Provider Name | Christina Marie Polete |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811305915 PECOS PAC ID: 0941527907 Enrollment ID: I20150331002808 |
| Provider Name | Erica L Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902332497 PECOS PAC ID: 5193088698 Enrollment ID: I20180416001781 |
| Provider Name | Ebone Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306519848 PECOS PAC ID: 5799164885 Enrollment ID: I20220621000699 |
| Provider Name | Cassondra Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770254302 PECOS PAC ID: 4486034188 Enrollment ID: I20220711003769 |
| Provider Name | Erika Danielle Champion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881456036 PECOS PAC ID: 8921446410 Enrollment ID: I20240403000733 |
Chester L. Crump Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 High St, Suite 2d, Hopkinsville, KY 42240 Phone: 270-885-6101 Fax: 270-885-3563 | |
Baptist Medical Management Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Clinic Dr, Hopkinsville, KY 42240 Phone: 270-707-4262 Fax: 270-707-4280 | |
William E. Sweet, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1102 S Virginia St, Hopkinsville, KY 42240 Phone: 270-890-0440 Fax: 270-890-0449 | |
Pennyroyal Healthcare Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1102 S Virginia St, Hopkinsville, KY 42240 Phone: 270-365-0227 Fax: 270-365-2559 | |
Fairview Physicians Network, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1717 High St, Suite 4b, Hopkinsville, KY 42240 Phone: 270-985-1376 Fax: 270-890-6036 | |
Jennie Stuart Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 W 18th St, Hopkinsville, KY 42240 Phone: 270-887-0100 Fax: 270-887-0425 | |
Baptist Health Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Clinic Dr, Hopkinsville, KY 42240 Phone: 270-707-3354 Fax: 270-707-3351 |