| Munfordville Family Medical Center | |
|
220 Interstate Plaza Suite D Munfordville KY 42765-8207 | |
| (270) 864-1472 | |
| (270) 864-1693 |
| Full Name | Munfordville Family Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 220 Interstate Plaza, Munfordville, Kentucky |
| Authorized Official Name and Position | Eric E Loy (CEO) |
| Authorized Official Contact | 2708586655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Munfordville Family Medical Center Po Box 1080 Burkesville KY 42717-1080 Ph: (270) 864-1472 | Munfordville Family Medical Center 220 Interstate Plaza Suite D Munfordville KY 42765-8207 Ph: (270) 864-1472 |
| NPI Number | 1871857573 |
|---|---|
| Provider Enumeration Date | 06/27/2012 |
| Last Update Date | 12/20/2021 |
| Medicare PECOS PAC ID | 6305947789 |
|---|---|
| Medicare Enrollment ID | O20140908002540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871857573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700172 (Kentucky) | Primary |
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