| Vine Grove Family Medicine Psc | |
|
101 W Main St Vine Grove KY 40175-1302 | |
| (270) 877-6672 | |
| Not Available |
| Full Name | Vine Grove Family Medicine Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 101 W Main St, Vine Grove, Kentucky |
| Authorized Official Name and Position | Timothy D. Law (PHYSICIAN AND OWNER) |
| Authorized Official Contact | 2708776672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vine Grove Family Medicine Psc 101 W Main St Vine Grove KY 40175-1302 Ph: (270) 877-6672 | Vine Grove Family Medicine Psc 101 W Main St Vine Grove KY 40175-1302 Ph: (270) 877-6672 |
| NPI Number | 1316143845 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 07/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316143845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Cumberland Family Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 First St, Vine Grove, KY 40175 Phone: 270-877-5410 Fax: 270-858-4029 | |
Rineyville Family Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 423 Crume Rd, Vine Grove, KY 40175 Phone: 270-900-1236 |