| White House Clinics | |
|
1 Pirate Pkwy Berea KY 40403 | |
| (859) 986-8446 | |
| Not Available |
| Full Name | White House Clinics |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1 Pirate Pkwy, Berea, Kentucky |
| Authorized Official Name and Position | Jenny Sargent (CREDENTIALER) |
| Authorized Official Contact | 8596267700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White House Clinics 1010 Main St S Mc Kee KY 40447-7089 Ph: (859) 626-7700 | White House Clinics 1 Pirate Pkwy Berea KY 40403 Ph: (859) 986-8446 |
| NPI Number | 1952733842 |
|---|---|
| Provider Enumeration Date | 08/02/2013 |
| Last Update Date | 07/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952733842 | NPI | - | NPPES |
| 31000243 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 700030 (Kentucky) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700030 (Kentucky) | Primary |
White House Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 Legacy Dr, Berea, KY 40403 Phone: 859-986-2323 Fax: 859-986-7728 |
White House Clinics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 202 Kidd Dr, Berea, KY 40403 Phone: 855-942-7787 |
Berea Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Estill St, Berea, KY 40403 Phone: 859-986-3151 |
Department of Veterans Affairs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Pauline Dr, Berea, KY 40403 Phone: 859-233-4511 Fax: 859-986-1289 |
Faith Dental of Berea Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 Richmond Rd N, Berea, KY 40403 Phone: 859-986-8491 |
Berea Walk-in Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 295 Paint Lick Rd, Berea, KY 40403 Phone: 859-986-0375 Fax: 859-368-7681 |