Family Services Madisonville | |
190 Madison Square Dr Ste B Madisonville KY 42431-2785 | |
(270) 874-2560 | |
Not Available |
Full Name | Family Services Madisonville |
---|---|
Speciality | Community/behavioral Health |
Location | 190 Madison Square Dr Ste B, Madisonville, Kentucky |
Authorized Official Name and Position | Sharon C' De Baca (EXECUTIVE ASSISTANT TO PRESIDENT) |
Authorized Official Contact | 5025381010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Family Services Madisonville Po Box 1429 Mt Washington KY 40047-1429 Ph: (502) 538-1000 | Family Services Madisonville 190 Madison Square Dr Ste B Madisonville KY 42431-2785 Ph: (270) 874-2560 |
NPI Number | 1497097562 |
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Provider Enumeration Date | 03/26/2013 |
Last Update Date | 10/25/2022 |
Certification Date | 10/25/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497097562 | NPI | - | NPPES |
7100326270 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 1395 (Kentucky) | Primary |
News Archive
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