Organization
ROSE BOWLING, LLC
Active
Organization
ROSE BOWLING, LLC
Active
Other names
Madison Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBA M. BOWLING (OWNER CEO)
(859) 626-7794
Entity
Organization
Contact information
Practice address
2161 LEXINGTON RD, RICHMOND, KY 40475-7952
(859) 626-7794
(859) 626-7764
Mailing address
2161 LEXINGTON RD, FIRST FLOOR, SUITE 5, RICHMOND, KY 40475-7952
(859) 626-7794
(859) 626-7764
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
900185
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35001775
—
KY
Enumeration date
06/02/2005
Last updated
07/09/2020
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