| Women's Care Of Lake Cumberland | |
|
333 Bogle St Somerset KY 42503-2873 | |
| (606) 678-0705 | |
| (606) 678-2807 |
| Full Name | Women's Care Of Lake Cumberland |
|---|---|
| Speciality | Clinic/Center |
| Location | 333 Bogle St, Somerset, Kentucky |
| Authorized Official Name and Position | Eric E Loy (CEO) |
| Authorized Official Contact | 2708641472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Women's Care Of Lake Cumberland Po Box 1080 Burkesville KY 42717-1080 Ph: (270) 858-6644 | Women's Care Of Lake Cumberland 333 Bogle St Somerset KY 42503-2873 Ph: (606) 678-0705 |
| NPI Number | 1457801888 |
|---|---|
| Provider Enumeration Date | 10/10/2016 |
| Last Update Date | 10/10/2016 |
| Medicare PECOS PAC ID | 6305947789 |
|---|---|
| Medicare Enrollment ID | O20170118002027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457801888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 700172 (Kentucky) | Primary |
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