Pinelake Physician Practice LLC
Doing business as Jackson Purchase Primary Care Hussain
Rural health clinic in Mayfield, KY, Medicare certification number B03843.
Medicare certification
Provider of Services- CCN
- B03843
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 1B
- Participating since
- Sep 23, 2021
- Last certification
- Sep 23, 2021
- Address
- 417 S 6TH Street
Mayfield, KY 42066
(270) 247-1104
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Jackson Purchase Primary Care Hussain Clinic
- Rural Health Clinic/Center
- Mayfield, KY
- NPI 1922645134
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.