| Homeplace Clinic Winchester | |
|
123 S Main St Winchester KY 40391 | |
| (606) 886-8572 | |
| Not Available |
| Full Name | Homeplace Clinic Winchester |
|---|---|
| Speciality | Clinic/Center |
| Location | 123 S Main St, Winchester, Kentucky |
| Authorized Official Name and Position | Roxann Cordial (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 6068868572 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Homeplace Clinic Winchester 104 S Front Ave Prestonsburg KY 41653-1614 Ph: (606) 886-8572 | Homeplace Clinic Winchester 123 S Main St Winchester KY 40391 Ph: (606) 886-8572 |
| NPI Number | 1568102432 |
|---|---|
| Provider Enumeration Date | 03/30/2022 |
| Last Update Date | 08/03/2022 |
| Certification Date | 08/03/2022 |
| Medicare PECOS PAC ID | 5294720553 |
|---|---|
| Medicare Enrollment ID | O20220901001082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568102432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
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