| East Bernstadt Medical Clinic | |
| 
					Us Hwy 25 South Us Hwy 25 South Lily KY 40740  | |
| (606) 523-1660 | |
| (606) 523-1665 | 
| Full Name | East Bernstadt Medical Clinic | 
|---|---|
| Speciality | Family Medicine | 
| Location | Us Hwy 25 South, Lily, Kentucky | 
| Authorized Official Name and Position | Carla Jean Johnson (INS. BILLING CREDENTIALING CLERK) | 
| Authorized Official Contact | 6068436195 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| East Bernstadt Medical Clinic Us Hwy 25 South Us Hwy 25 South Lily KY 40740 Ph: (606) 523-1660  | East Bernstadt Medical Clinic Us Hwy 25 South Us Hwy 25 South Lily KY 40740 Ph: (606) 523-1660  | 
| NPI Number | 1831158187 | 
|---|---|
| Provider Enumeration Date | 03/23/2006 | 
| Last Update Date | 11/29/2007 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1831158187 | NPI | - | NPPES | 
| 65916660 | Medicaid | KY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |