| Tri-rivers Healthcare Pllc | |
|
308 S Main St Marion KY 42064-1545 | |
| (270) 965-4377 | |
| (270) 965-9569 |
| Full Name | Tri-rivers Healthcare Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 308 S Main St, Marion, Kentucky |
| Authorized Official Name and Position | Michael Albin Heneisen (AGENT) |
| Authorized Official Contact | 2709883298 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-rivers Healthcare Pllc 141 Hospital Drive Po Box 347 Salem KY 42078-0347 Ph: (270) 988-3298 | Tri-rivers Healthcare Pllc 308 S Main St Marion KY 42064-1545 Ph: (270) 965-4377 |
| NPI Number | 1699895003 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 01/06/2015 |
| Medicare PECOS PAC ID | 8426965278 |
|---|---|
| Medicare Enrollment ID | O20080919000334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699895003 | NPI | - | NPPES |
| 7890094100 | Medicaid | KY | |
| 6590103500 | Medicaid | KY | |
| 7100091570 | Medicaid | KY |
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