Organization
FAMILY MEDICAL CARE OF MANCHESTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS GERARDY IRWIN M.D. (OWNER)
(606) 599-9955
Entity
Organization
Contact information
Practice address
94 MARIE LANGDON DR, SUITE 1, MANCHESTER, KY 40962-6353
(606) 599-9955
(606) 599-9966
Mailing address
94 MARIE LANGDON DR, SUITE 1, MANCHESTER, KY 40962-6353
(606) 599-9955
(606) 599-9966
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38637
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000195439
BLUE CROSS/BLUE SHIELD
KY
01
—
020252900
BLACK LUNG GROUP #
KY
01
—
1168920
PASSPORT GROUP PROVIDER #
KY
05
—
31000813
—
KY
01
—
C92418
CUMBERLAND HEALTHCARE
KY
Enumeration date
06/10/2006
Last updated
07/02/2008
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