| Unbridled Healthcare System Llc | |
|
220 N Main St London KY 40741-1367 | |
| (606) 770-3014 | |
| Not Available |
| Full Name | Unbridled Healthcare System Llc |
|---|---|
| Speciality | General Practice |
| Location | 220 N Main St, London, Kentucky |
| Authorized Official Name and Position | Terri Tye (BILLING AND CREDENTIALING) |
| Authorized Official Contact | 6062153832 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unbridled Healthcare System Llc Po Box 2448 London KY 40743-2448 Ph: (606) 770-3014 | Unbridled Healthcare System Llc 220 N Main St London KY 40741-1367 Ph: (606) 770-3014 |
| NPI Number | 1295461663 |
|---|---|
| Provider Enumeration Date | 07/28/2022 |
| Last Update Date | 10/11/2023 |
| Medicare PECOS PAC ID | 3274919097 |
|---|---|
| Medicare Enrollment ID | O20221003001081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295461663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Francine Robinson Mosley |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1215952544 PECOS PAC ID: 3678519824 Enrollment ID: I20091013000611 |
| Provider Name | David Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356622419 PECOS PAC ID: 8820261332 Enrollment ID: I20111028000221 |
Emmanuel Yumang, Md, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 73 Thompson Poynter Rd, Ste A, London, KY 40741 Phone: 606-877-1446 Fax: 606-877-1285 | |
Premier Family Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1406 W 5th St, Ste 201, London, KY 40741 Phone: 606-330-2377 Fax: 606-330-2369 | |
Embrase, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 N Hill St, London, KY 40741 Phone: 606-260-8811 Fax: 606-260-8812 | |
Rastogi And Rastogi Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 564 Country Club Est, London, KY 40744 Phone: 606-878-7395 Fax: 606-878-7395 | |
Brock Medical, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1649 Highway 192 W, London, KY 40741 Phone: 931-253-1110 Fax: 931-253-1110 | |
London Women's Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 803 Meyers Baker Rd Ste 200, London, KY 40741 Phone: 606-878-3240 Fax: 606-878-4308 | |
North Laurel High School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 Whitley St, London, KY 40741 Phone: 606-878-7754 Fax: 606-864-8295 |