| Westlake Primary Care | |
|
810 Jamestown St Columbia KY 42728-1010 | |
| (270) 384-4764 | |
| (270) 384-5826 |
| Full Name | Westlake Primary Care |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 810 Jamestown St, Columbia, Kentucky |
| Authorized Official Name and Position | Neal M. Gold (CEO) |
| Authorized Official Contact | 2703844753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westlake Primary Care 810 Jamestown St Columbia KY 42728-1010 Ph: (270) 384-4764 | Westlake Primary Care 810 Jamestown St Columbia KY 42728-1010 Ph: (270) 384-4764 |
| NPI Number | 1932174968 |
|---|---|
| Provider Enumeration Date | 02/22/2006 |
| Last Update Date | 11/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932174968 | NPI | - | NPPES |
| 35001049 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 7000034 (Kentucky) | Primary |
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