| Paducah Primary Care, P.s.c. | |
|
4620 Village Square Dr Paducah KY 42001-7501 | |
| (270) 442-8575 | |
| (270) 442-8783 |
| Full Name | Paducah Primary Care, P.s.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4620 Village Square Dr, Paducah, Kentucky |
| Authorized Official Name and Position | Ronald L Wilson (PRESIDENT) |
| Authorized Official Contact | 2704428575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paducah Primary Care, P.s.c. 2601 Kentucky Ave Suite 101 Paducah KY 42003-3817 Ph: (270) 442-8575 | Paducah Primary Care, P.s.c. 4620 Village Square Dr Paducah KY 42001-7501 Ph: (270) 442-8575 |
| NPI Number | 1497892103 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 10/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497892103 | NPI | - | NPPES |
| 65927717 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Jeffrey L. Riney M.d. & Associates Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 225 Medical Center Dr, Suite 209b, Paducah, KY 42003 Phone: 270-441-4610 Fax: 270-441-4608 | |
Emerald Therapy Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2520 New Holt Rd Ste I, Paducah, KY 42001 Phone: 270-558-3916 | |
Arcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 S 20th St, Paducah, KY 42001 Phone: 270-575-3247 Fax: 270-442-7335 | |
Wilson Medical Staffing Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2603 Kentucky Ave Ste 305, Paducah, KY 42003 Phone: 270-558-5456 Fax: 270-558-5471 | |
Mercy Health Physicians Kentucky Specialty Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 225 Medical Center Dr Ste 202, Paducah, KY 42003 Phone: 270-441-4510 Fax: 270-441-4512 | |
Baptist Health Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2670 Holt Road, Suite 200, Paducah, KY 42001 Phone: 270-575-2875 Fax: 270-575-2877 | |
Western Baptist Medical Ventures, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2501 Kentucky Ave, Paducah, KY 42003 Phone: 270-575-2101 Fax: 270-575-2905 |