| Yahweh Medical Clinic Psc | |
|
3513 Cumberland Ave Middlesboro KY 40965-2611 | |
| (631) 790-2862 | |
| Not Available |
| Full Name | Yahweh Medical Clinic Psc |
|---|---|
| Speciality | General Practice |
| Location | 3513 Cumberland Ave, Middlesboro, Kentucky |
| Authorized Official Name and Position | Asher Gabriel (OWNER) |
| Authorized Official Contact | 6317902862 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Yahweh Medical Clinic Psc 3589 Highway 33 S New Tazewell TN 37825-2319 Ph: (631) 790-2862 | Yahweh Medical Clinic Psc 3513 Cumberland Ave Middlesboro KY 40965-2611 Ph: (631) 790-2862 |
| NPI Number | 1497309827 |
|---|---|
| Provider Enumeration Date | 07/24/2019 |
| Last Update Date | 09/19/2019 |
| Medicare PECOS PAC ID | 4587994280 |
|---|---|
| Medicare Enrollment ID | O20190923003360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497309827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Michelle L Broughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053540674 PECOS PAC ID: 5799831343 Enrollment ID: I20090923000175 |
| Provider Name | Asher A Gabriel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588864326 PECOS PAC ID: 6406142256 Enrollment ID: I20170428001596 |
| Provider Name | Jennifer Lucille Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104485630 PECOS PAC ID: 2961732417 Enrollment ID: I20190925002641 |
Blue Mountain Medical Clinic, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1814 Cumberland Ave, Middlesboro, KY 40965 Phone: 606-242-2519 Fax: 606-242-2520 | |
Mobile Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1540 Us Highway 25 E, Middlesboro, KY 40965 Phone: 606-654-9450 | |
Rogelio Uy, M.d., P.s.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2032 Cumberland Ave, Middlesboro, KY 40965 Phone: 606-248-4833 Fax: 606-248-4836 | |
Grace Community Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4400 W Cumberland Ave, Middlesboro, KY 40965 Phone: 606-242-8880 Fax: 606-242-8885 | |
Family Health Care Associates Of Corbin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 Us Highway 25 E, Suite 98, Middlesboro, KY 40965 Phone: 606-248-8284 | |
Stallworth Internal Medicine And Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2010 Cumberland Ave, Middlesboro, KY 40965 Phone: 606-242-2077 Fax: 606-242-2027 | |
First Care Clinics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 239 N 12th St, Middlesboro, KY 40965 Phone: 270-632-1548 |