| Saint Luke's Family And Mult I Specialty Clinic | |
|
31 Main St Campton Medical Arts, Suite I Campton KY 41301-9750 | |
| (606) 668-9076 | |
| (606) 668-7488 |
| Full Name | Saint Luke's Family And Mult I Specialty Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 31 Main St, Campton, Kentucky |
| Authorized Official Name and Position | Edwin M Santos (PARTNER) |
| Authorized Official Contact | 6066689076 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Luke's Family And Mult I Specialty Clinic 12 Jackson Hts Jackson KY 41339-6500 Ph: (606) 693-0199 | Saint Luke's Family And Mult I Specialty Clinic 31 Main St Campton Medical Arts, Suite I Campton KY 41301-9750 Ph: (606) 668-9076 |
| NPI Number | 1144382698 |
|---|---|
| Provider Enumeration Date | 12/14/2006 |
| Last Update Date | 02/02/2022 |
| Medicare PECOS PAC ID | 5991790636 |
|---|---|
| Medicare Enrollment ID | O20040420000822 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144382698 | NPI | - | NPPES |
| 31000961 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Melecio Abordo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871590935 PECOS PAC ID: 3375445745 Enrollment ID: I20040202000139 |
| Provider Name | Edwin M Santos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689652281 PECOS PAC ID: 1153316898 Enrollment ID: I20040423000599 |
| Provider Name | Michael W Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578554994 PECOS PAC ID: 2769496603 Enrollment ID: I20060131000560 |
| Provider Name | Pamela S Dale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205172970 PECOS PAC ID: 2466684782 Enrollment ID: I20140418000696 |
| Provider Name | Sheila M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841735982 PECOS PAC ID: 2264715119 Enrollment ID: I20170220001509 |
| Provider Name | Kayla Dawn Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770298648 PECOS PAC ID: 0941673057 Enrollment ID: I20230309002736 |
Appalachian Wellness Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 592 Ky 15 S Ste 1-2, Campton, KY 41301 Phone: 606-668-9178 Fax: 877-203-3485 | |
Campton Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 Ky 15 N, Campton, KY 41301 Phone: 606-668-9841 Fax: 606-668-7730 | |
United Clinics Of Kentucky Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 239 Mountain Parkway Spur, Campton, KY 41301 Phone: 606-668-6932 | |
County Line Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9221 Ky 15 S, Campton, KY 41301 Phone: 606-568-1184 | |
Juniper Health Wolfe County Middle School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 303 N Johnson Street, Campton, KY 41301 Phone: 606-668-7385 Fax: 606-464-0152 | |
Campton Rural Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 Ky 15 N, Campton, KY 41301 Phone: 606-668-9841 Fax: 606-668-7730 |