| Rineyville Family Medical Clinic Llc | |
|
423 Crume Rd Vine Grove KY 40175-1130 | |
| (270) 900-1236 | |
| Not Available |
| Full Name | Rineyville Family Medical Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 423 Crume Rd, Vine Grove, Kentucky |
| Authorized Official Name and Position | Jessi Lloyd (OWNER) |
| Authorized Official Contact | 2709001236 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rineyville Family Medical Clinic Llc 89 Jake Dr Rineyville KY 40162-9462 Ph: () - | Rineyville Family Medical Clinic Llc 423 Crume Rd Vine Grove KY 40175-1130 Ph: (270) 900-1236 |
| NPI Number | 1922576768 |
|---|---|
| Provider Enumeration Date | 11/09/2018 |
| Last Update Date | 04/03/2020 |
| Medicare PECOS PAC ID | 8022354612 |
|---|---|
| Medicare Enrollment ID | O20190118002047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922576768 | NPI | - | NPPES |
| 7100476030 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Jessi Lloyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295257517 PECOS PAC ID: 7810269313 Enrollment ID: I20170817003411 |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 First St, Vine Grove, KY 40175 Phone: 270-877-5410 Fax: 270-858-4029 | |
Vine Grove Family Medicine Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 W Main St, Vine Grove, KY 40175 Phone: 270-877-6672 |