| Kentucky Friendly Care Center, Inc. | |
|
125 Lothbury Avenue Middlesboro KY 40965-2845 | |
| (606) 248-5322 | |
| (606) 248-9244 |
| Full Name | Kentucky Friendly Care Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 125 Lothbury Avenue, Middlesboro, Kentucky |
| Authorized Official Name and Position | Mohamad H Alnahhas (PRESIDENT) |
| Authorized Official Contact | 6062485322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentucky Friendly Care Center, Inc. 125 Lothbury Avenue Middlesboro KY 40965-2845 Ph: (606) 248-5322 | Kentucky Friendly Care Center, Inc. 125 Lothbury Avenue Middlesboro KY 40965-2845 Ph: (606) 248-5322 |
| NPI Number | 1467939066 |
|---|---|
| Provider Enumeration Date | 07/26/2018 |
| Last Update Date | 02/19/2019 |
| Medicare PECOS PAC ID | 0143572909 |
|---|---|
| Medicare Enrollment ID | O20181008000166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467939066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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