| St. Michael's Health Clinic | |
|
2801 Walter Garrett Ln Oak Grove KY 42262-9998 | |
| (270) 640-5821 | |
| (844) 270-5587 |
| Full Name | St. Michael's Health Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2801 Walter Garrett Ln, Oak Grove, Kentucky |
| Authorized Official Name and Position | Kimberly Riddle (DNP, APRN) |
| Authorized Official Contact | 2706405821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Michael's Health Clinic 2801 Walter Garrett Ln. Oak Grove KY 42262-9998 Ph: (270) 640-5821 | St. Michael's Health Clinic 2801 Walter Garrett Ln Oak Grove KY 42262-9998 Ph: (270) 640-5821 |
| NPI Number | 1366800922 |
|---|---|
| Provider Enumeration Date | 02/10/2016 |
| Last Update Date | 03/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366800922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 3004526 (Kentucky) | Primary |
Pennyroyal Healthcare Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 244 Thompsonville Ln, Oak Grove, KY 42262 Phone: 270-365-2227 Fax: 270-365-2559 |