| Jessamine Christian Healthcare | |
|
200 Rice St Wilmore KY 40390-1359 | |
| (859) 858-9355 | |
| (859) 858-0416 |
| Full Name | Jessamine Christian Healthcare |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 Rice St, Wilmore, Kentucky |
| Authorized Official Name and Position | Larry David Williams (BUSINESS DIRECTOR) |
| Authorized Official Contact | 8598589355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessamine Christian Healthcare 200 Rice St Wilmore KY 40390-1359 Ph: (859) 858-9355 | Jessamine Christian Healthcare 200 Rice St Wilmore KY 40390-1359 Ph: (859) 858-9355 |
| NPI Number | 1073643599 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073643599 | NPI | - | NPPES |
| 3843156 | Other | KY | DR. COBURN'S CIGNA # |
| 5842674 | Other | KY | DR. COBURN AETNA PPO # |
| 64319916 | Medicaid | KY | |
| 64029648 | Medicaid | KY | |
| 72935 | Other | KY | DR. COBURN AETNA HMO # |
| 10305 | Other | KY | DR. COBURN CHA # |
| 000000052187 | Other | KY | DR. COBURN ANTHEM # |
| 2614700 | Other | KY | DR. HUFFMAN'S AETNA PPO |
| 65932030 | Medicaid | KY | |
| 72935 | Other | KY | DR. HUFFMAN'S AETNA HMO |
| 000000052187 | Other | KY | DR. COBURN BCBS # |
| 000000191189 | Other | KY | DR. HUFFMAN ANTHEM # |
| 000000191189 | Other | KY | DR. HUFFMAN'S BCBS # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 31991 (Kentucky) | Primary |
| 207R00000X | Internal Medicine | 34906 (Kentucky) | Primary |
Dr. Phyllis D. Corbitt Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 E Main St, Wilmore, KY 40390 Phone: 859-858-3219 Fax: 859-858-3940 | |
Saint Joseph Primary Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Rice St, Wilmore, KY 40390 Phone: 859-858-9355 Fax: 859-858-0416 |