Organization
CCMH CORPORATION
Active
Organization
CCMH CORPORATION
Active
Other names
Bedford Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA TOMLINSON (DIRECTOR OF CLINICAL SERVICES)
(502) 732-3243
Entity
Organization
Contact information
Practice address
470 HIGHWAY 421 N, BEDFORD, KY 40006-8690
(502) 255-7732
(502) 255-3970
Mailing address
309 11TH ST, CARROLLTON, KY 41008-1435
(502) 732-3243
(502) 732-3297
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
900261
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000520562
ANTHEM
KY
01
—
50014776
PASSPORT
KY
05
—
7100010810
—
KY
Enumeration date
10/02/2007
Last updated
06/15/2026
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