| Thacker Family Medical Llc | |
|
140 Adams Ln Ste 600-700 Pikeville KY 41501-3087 | |
| (606) 509-2000 | |
| (606) 509-2002 |
| Full Name | Thacker Family Medical Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 140 Adams Ln Ste 600-700, Pikeville, Kentucky |
| Authorized Official Name and Position | Chadward L. Thacker (OWNER) |
| Authorized Official Contact | 6065092000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thacker Family Medical Llc 140 Adams Ln Ste 600-700 Pikeville KY 41501-3087 Ph: (606) 509-2000 | Thacker Family Medical Llc 140 Adams Ln Ste 600-700 Pikeville KY 41501-3087 Ph: (606) 509-2000 |
| NPI Number | 1134898364 |
|---|---|
| Provider Enumeration Date | 09/10/2021 |
| Last Update Date | 01/26/2024 |
| Medicare PECOS PAC ID | 1557523057 |
|---|---|
| Medicare Enrollment ID | O20211022001430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134898364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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