| T J Health Columbia Clinic | |
|
902 Westlake Dr Ste 101 Columbia KY 42728-1149 | |
| (270) 384-0451 | |
| (270) 384-0454 |
| Full Name | T J Health Columbia Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 902 Westlake Dr Ste 101, Columbia, Kentucky |
| Authorized Official Name and Position | Neil Thornbury (CEO) |
| Authorized Official Contact | 2706514159 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| T J Health Columbia Clinic Po Box 645996 Cincinnati Cincinnati OH 45264-0001 Ph: (270) 651-4444 | T J Health Columbia Clinic 902 Westlake Dr Ste 101 Columbia KY 42728-1149 Ph: (270) 384-0451 |
| NPI Number | 1235595653 |
|---|---|
| Provider Enumeration Date | 01/14/2016 |
| Last Update Date | 03/30/2023 |
| Medicare PECOS PAC ID | 7113224783 |
|---|---|
| Medicare Enrollment ID | O20160325000011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235595653 | NPI | - | NPPES |
| 7100422710 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Kentucky) | Primary |
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