Pinelake Physician Practice LLC
Doing business as Jackson Purchase Primary Care-Southside Clinic
Rural health clinic in Mayfield, KY, Medicare certification number B08913.
Medicare certification
Provider of Services- CCN
- B08913
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 1B
- Participating since
- Apr 10, 2026
- Last certification
- Apr 10, 2026
- Address
- 1206 Paris Rd Ste B
Mayfield, KY 42066
(270) 804-7160
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Jackson Purchase Primary Care - Southside Clinic
- Rural Health Clinic/Center
- Mayfield, KY
- NPI 1093609612
Medicare enrollment
Other rural health clinics in Mayfield, KY
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.