| Madison Healthcare Services | |
|
519 Hampton Way Ste 7 Richmond KY 40475-8885 | |
| (502) 529-9062 | |
| Not Available |
| Full Name | Madison Healthcare Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 519 Hampton Way Ste 7, Richmond, Kentucky |
| Authorized Official Name and Position | Marcel Simo (CEO/OWNER) |
| Authorized Official Contact | 4234893575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Healthcare Services 519 Hampton Way Ste 8 Richmond KY 40475-8885 Ph: () - | Madison Healthcare Services 519 Hampton Way Ste 7 Richmond KY 40475-8885 Ph: (502) 529-9062 |
| NPI Number | 1083365670 |
|---|---|
| Provider Enumeration Date | 01/14/2022 |
| Last Update Date | 04/20/2022 |
| Medicare PECOS PAC ID | 6406242924 |
|---|---|
| Medicare Enrollment ID | O20220411001341 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083365670 | NPI | - | NPPES |
| Provider Name | Marcel Simo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972734002 PECOS PAC ID: 2466508213 Enrollment ID: I20090918000403 |
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