| Kentucky Care 112 | |
|
120 N 4th St Barlow KY 42024-9579 | |
| (270) 334-3131 | |
| (270) 334-3173 |
| Full Name | Kentucky Care 112 |
|---|---|
| Speciality | Clinic/Center |
| Location | 120 N 4th St, Barlow, Kentucky |
| Authorized Official Name and Position | Steven F Collier (CEO) |
| Authorized Official Contact | 8703472534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentucky Care 112 Po Box 497 Augusta AR 72006-0497 Ph: (570) 347-2534 | Kentucky Care 112 120 N 4th St Barlow KY 42024-9579 Ph: (270) 334-3131 |
| NPI Number | 1215318019 |
|---|---|
| Provider Enumeration Date | 06/17/2015 |
| Last Update Date | 06/09/2022 |
| Medicare PECOS PAC ID | 2567370620 |
|---|---|
| Medicare Enrollment ID | O20150821012631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215318019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Ballard County Medical Center, Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 South 4th Street, Barlow, KY 42024 Phone: 270-534-8999 Fax: 270-534-1670 | |
Ballard County Medical Center Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 S 4th St, Barlow, KY 42024 Phone: 270-534-8999 Fax: 270-534-1670 |