| Jessamine County Health Department | |
|
210 E Walnut St Nicholasville KY 40356-1252 | |
| (859) 885-4149 | |
| (859) 885-1863 |
| Full Name | Jessamine County Health Department |
|---|---|
| Speciality | Clinic/Center |
| Location | 210 E Walnut St, Nicholasville, Kentucky |
| Authorized Official Name and Position | Garry R. Gooch (PUBLIC HEALTH DIRECTOR) |
| Authorized Official Contact | 8598854149 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessamine County Health Department 210 E Walnut St Nicholasville KY 40356-1252 Ph: (859) 885-4149 | Jessamine County Health Department 210 E Walnut St Nicholasville KY 40356-1252 Ph: (859) 885-4149 |
| NPI Number | 1861479206 |
|---|---|
| Provider Enumeration Date | 12/28/2005 |
| Last Update Date | 03/22/2013 |
| Medicare PECOS PAC ID | 1153374483 |
|---|---|
| Medicare Enrollment ID | O20050228000316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861479206 | NPI | - | NPPES |
| 20057014 | Medicaid | KY | |
| FLU0309 | Other | KY | MEDICARE FLU |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Secondary |
| 261QP0905X | Clinic/center - Public Health, State Or Local | (Kentucky) | Primary |
| Provider Name | Vicki L Vernon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295711893 PECOS PAC ID: 9234391103 Enrollment ID: I20120510000471 |
| Provider Name | Lauren M Lane |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700153657 PECOS PAC ID: 2860659646 Enrollment ID: I20160811002446 |
| Provider Name | James S Davis |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1568703379 PECOS PAC ID: 5698901841 Enrollment ID: I20180601001271 |
Kpa Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 Keene Manor Cir, Nicholasville, KY 40356 Phone: 718-961-3277 | |
Baptist Health Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 E Brannon Rd, Nicholasville, KY 40356 Phone: 859-260-5540 Fax: 859-260-4399 | |
Concentra Primary Care Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 Bellaire Drive, Nicholasville, KY 40356 Phone: 859-887-4882 Fax: 859-881-1728 | |
Baptist Health Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Providence Way Ste 200, Nicholasville, KY 40356 Phone: 859-260-5370 Fax: 859-260-5379 | |
Only You Wellness, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 617 Edgewood Dr, Nicholasville, KY 40356 Phone: 859-241-1136 Fax: 859-241-1009 | |
Peter Aliu Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Stable Way, Nicholasville, KY 40356 Phone: 276-233-9982 Fax: 859-687-0001 | |
Saint Joseph Medical Foundation, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1250 Keene Rd, Ste 102, Nicholasville, KY 40356 Phone: 859-885-9402 Fax: 859-887-1624 |