| Purchase Care Llc | |
|
503 5th Ave Calvert City KY 42029 | |
| (270) 395-5388 | |
| (270) 395-1792 |
| Full Name | Purchase Care Llc |
|---|---|
| Speciality | General Practice |
| Location | 503 5th Ave, Calvert City, Kentucky |
| Authorized Official Name and Position | Charles L Waller (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2703955388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purchase Care Llc Po Box 1175 Calvert City KY 42029 Ph: (270) 395-5388 | Purchase Care Llc 503 5th Ave Calvert City KY 42029 Ph: (270) 395-5388 |
| NPI Number | 1710047998 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 02/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710047998 | NPI | - | NPPES |
| 65941718 | Medicaid | KY | |
| 000000174371 | Other | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Baptist Health Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4754 Us Highway 62, Calvert City, KY 42029 Phone: 270-415-7780 Fax: 270-415-7779 |