Organization
ESTILL MEDICAL CLINIC, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA R ISFORT APRN (OWNER)
(606) 723-2167
Entity
Organization
Contact information
Practice address
275 COURT ST, IRVINE, KY 40336-1077
(606) 723-2167
(606) 723-2112
Mailing address
275 COURT ST, IRVINE, KY 40336-1077
(606) 723-2167
(606) 723-2112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000507512
ANTHEM
KY
05
—
64142649
—
KY
Enumeration date
10/25/2007
Last updated
11/09/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us