| Paige Primary Care Center | |
|
1023 New Moody Ln Suite 201 La Grange KY 40031-9177 | |
| (502) 225-4480 | |
| (502) 225-9169 |
| Full Name | Paige Primary Care Center |
|---|---|
| Speciality | Pediatrics |
| Location | 1023 New Moody Ln, La Grange, Kentucky |
| Authorized Official Name and Position | Carlton Damon Paige (PRESIDENT) |
| Authorized Official Contact | 5022254480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paige Primary Care Center 1023 New Moody Ln Suite 201 La Grange KY 40031-9177 Ph: (502) 225-4480 | Paige Primary Care Center 1023 New Moody Ln Suite 201 La Grange KY 40031-9177 Ph: (502) 225-4480 |
| NPI Number | 1144270018 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 01/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144270018 | NPI | - | NPPES |
| D0433 | Other | KY | MEDICARE RR |
| 7100169030 | Medicaid | KY |
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