Pinelake Physician Practice LLC
Doing business as Jackson Purchase Primary Care Hickman Clinic
Rural health clinic in Hickman, KY, Medicare certification number 188957.
Medicare certification
Provider of Services- CCN
- 188957
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 1B
- Participating since
- Aug 2, 2017
- Last certification
- May 15, 2017
- Address
- 2003 South 7TH Street
Hickman, KY 42050
(270) 236-3202
NPI records for this facility (CCN to NPI Mapping) 2
-
dba Jackson Purchase Primary Care Hickman Clinic
- Rural Health Clinic/Center
- Hickman, KY
- NPI 1205494085
Medicare enrollment -
dba Jackson Purchase Podiatry
- Internal Medicine Physician
- Mayfield, KY
- NPI 1861563439
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.