| Eadens-grimball Internal Medicine Associates | |
|
402 Bogle St Ste 3 Somerset KY 42503-2870 | |
| (606) 451-9953 | |
| (606) 451-1533 |
| Full Name | Eadens-grimball Internal Medicine Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 402 Bogle St, Somerset, Kentucky |
| Authorized Official Name and Position | Debra Jo Eadens (PHYSICIAN/OFFICE MANAGER) |
| Authorized Official Contact | 6064519953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eadens-grimball Internal Medicine Associates 402 Bogle St Ste 3 Somerset KY 42503-2870 Ph: (606) 451-9953 | Eadens-grimball Internal Medicine Associates 402 Bogle St Ste 3 Somerset KY 42503-2870 Ph: (606) 451-9953 |
| NPI Number | 1366539223 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 02/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366539223 | NPI | - | NPPES |
| 7100049580 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
News Archive
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Kentucky Family Care Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 298 Bogle St, Ste B, Somerset, KY 42503 Phone: 606-679-9213 Fax: 606-677-9963 | |
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