| Irvington Medical Center | |
|
109 Caroline St. Irvington KY 40146-0367 | |
| (270) 547-2011 | |
| (270) 547-2031 |
| Full Name | Irvington Medical Center |
|---|---|
| Speciality | General Practice |
| Location | 109 Caroline St., Irvington, Kentucky |
| Authorized Official Name and Position | Harold Wilbur Owens (MD/OWNER) |
| Authorized Official Contact | 2705472011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irvington Medical Center Po Box 367 Irvington KY 40146-0367 Ph: (270) 547-2011 | Irvington Medical Center 109 Caroline St. Irvington KY 40146-0367 Ph: (270) 547-2011 |
| NPI Number | 1639353642 |
|---|---|
| Provider Enumeration Date | 12/27/2007 |
| Last Update Date | 07/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639353642 | NPI | - | NPPES |
| 64133457 | Medicaid | KY | |
| 000000062613 | Other | ANTHEM | |
| 011769099 | Other | RR MEDICARE | |
| 1265701 | Other | MEDICARE | |
| 1049319 | Other | PASSPORT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 13345 (Kentucky) | Primary |
Surychandra S Patel Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 W. Us 60, Irvington, KY 40146 Phone: 270-547-7161 Fax: 270-547-7163 | |
Breck Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 W Us 60, Irvington, KY 40146 Phone: 270-547-7161 Fax: 270-547-7163 | |
Patel Medical Center Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 205 W Highway 60, Irvington, KY 40146 Phone: 270-547-7161 Fax: 270-547-7163 |