Pinelake Physician Practice LLC
Doing business as Jackson Purchase Primary Care Fulton Clinic
Rural health clinic in Fulton, KY, Medicare certification number 188981.
Medicare certification
Provider of Services- CCN
- 188981
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 1B
- Participating since
- Jul 6, 2018
- Last certification
- Jul 6, 2018
- Address
- 101 Main Street
Fulton, KY 42041
(270) 472-5245
NPI records for this facility (CCN to NPI Mapping) 2
-
- Rural Health Clinic/Center
- Mayfield, KY
- NPI 1295960532
Medicare enrollment -
dba Jackson Purchase Primary Care - Fulton Clinic
- Rural Health Clinic/Center
- Fulton, KY
- NPI 1437623337
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.