| Jamestown Elementary Healthy Kids Clinic | |
|
342 S Main St Jamestown KY 42629-2199 | |
| (270) 343-3966 | |
| (270) 864-1693 |
| Full Name | Jamestown Elementary Healthy Kids Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 342 S Main St, Jamestown, Kentucky |
| Authorized Official Name and Position | Eric E Loy (CEO) |
| Authorized Official Contact | 2708586655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamestown Elementary Healthy Kids Clinic Po Box 1080 Burkesville KY 42717-1080 Ph: (270) 858-6655 | Jamestown Elementary Healthy Kids Clinic 342 S Main St Jamestown KY 42629-2199 Ph: (270) 343-3966 |
| NPI Number | 1780075143 |
|---|---|
| Provider Enumeration Date | 02/06/2015 |
| Last Update Date | 10/08/2025 |
| Certification Date | 10/08/2025 |
| Medicare PECOS PAC ID | 6305947789 |
|---|---|
| Medicare Enrollment ID | O20160308001643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780075143 | NPI | - | NPPES |
| 7100017280 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700172 (Kentucky) | Primary |
Jamestown Healthcare Clinic LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1417 N Main St, Jamestown, KY 42629 Phone: 270-343-2597 Fax: 270-343-2598 |
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Jamestown Family Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1417 N Main Street, Jamestown, KY 42629 Phone: 270-343-2597 Fax: 270-343-2598 |