| Red River Health Care | |
|
321c E College Ave Stanton KY 40380-2325 | |
| (606) 663-9797 | |
| (606) 663-9470 |
| Full Name | Red River Health Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 321c E College Ave, Stanton, Kentucky |
| Authorized Official Name and Position | Djien Hwat So (OPERATING MANAGER) |
| Authorized Official Contact | 6064320174 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Red River Health Care Po Box 2748 Pikeville KY 41502-2748 Ph: (606) 432-3221 | Red River Health Care 321c E College Ave Stanton KY 40380-2325 Ph: (606) 663-9797 |
| NPI Number | 1013954510 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 03/21/2017 |
| Medicare PECOS PAC ID | 9436147048 |
|---|---|
| Medicare Enrollment ID | O20040503001550 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013954510 | NPI | - | NPPES |
| 35001783 | Medicaid | KY |
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