| Primary Care Centers Of Eastern Kentucky-hazard | |
|
101 Town And Country Ln Suite100 Hazard KY 41701-9524 | |
| (606) 439-1300 | |
| (606) 439-1400 |
| Full Name | Primary Care Centers Of Eastern Kentucky-hazard |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Town And Country Ln, Hazard, Kentucky |
| Authorized Official Name and Position | Barry Martin (CEO) |
| Authorized Official Contact | 6064391300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Centers Of Eastern Kentucky-hazard Po Box 1988 Hazard KY 41702 Ph: (606) 435-7642 | Primary Care Centers Of Eastern Kentucky-hazard 101 Town And Country Ln Suite100 Hazard KY 41701-9524 Ph: (606) 439-1300 |
| NPI Number | 1942275805 |
|---|---|
| Provider Enumeration Date | 02/22/2006 |
| Last Update Date | 09/19/2016 |
| Medicare PECOS PAC ID | 3971415993 |
|---|---|
| Medicare Enrollment ID | O20210108001463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942275805 | NPI | - | NPPES |
| 7100167330 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 900161 (Kentucky) | Primary |
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