Pinelake Physician Practice LLC
Doing business as Jackson Purchase Primary Care Clinton Clinic
Rural health clinic in Clinton, KY, Medicare certification number B03842.
Medicare certification
Provider of Services- CCN
- B03842
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 1C
- Participating since
- Sep 23, 2021
- Last certification
- Oct 2, 2024
- Address
- 106 W Clay St
Clinton, KY 42031
(270) 653-0220
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Jackson Purchase Primary Care - Clinton Clinic
- Rural Health Clinic/Center
- Clinton, KY
- NPI 1437614633
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.