| Saint Joseph Primary Care Associates | |
|
200 Rice St Wilmore KY 40390-1359 | |
| (859) 858-9355 | |
| (859) 858-0416 |
| Full Name | Saint Joseph Primary Care Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 200 Rice St, Wilmore, Kentucky |
| Authorized Official Name and Position | Kandi R Rea (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6063303404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Joseph Primary Care Associates Po Box 73652 Cleveland OH 44193-0002 Ph: (606) 330-3404 | Saint Joseph Primary Care Associates 200 Rice St Wilmore KY 40390-1359 Ph: (859) 858-9355 |
| NPI Number | 1588986707 |
|---|---|
| Provider Enumeration Date | 02/16/2010 |
| Last Update Date | 08/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588986707 | NPI | - | NPPES |
| 7100087490 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Jessamine Christian Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Rice St, Wilmore, KY 40390 Phone: 859-858-9355 Fax: 859-858-0416 | |
Dr. Phyllis D. Corbitt Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 E Main St, Wilmore, KY 40390 Phone: 859-858-3219 Fax: 859-858-3940 |