OrganizationAshland Primary Care PscFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1200 Central Ave, Suite 1, Ashland, KY 41101(606) 329-0977PECOS EnrollmentBased on the most recent information from CMS, provider Ashland Primary Care Psc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1639232127Provider TypeOrganizationFull NameAshland Primary Care PscSubpartNoEnumeration Date12/18/2006Last Updated9/25/2007Contact InformationPractice LocationPractice Address1200 Central Ave, Suite 1, Ashland, KY 41101Phone(606) 329-0977Fax(606) 324-0541Mailing LocationMailing Address1200 Central Ave, Suite 1, Ashland, KY 41101Phone(606) 329-0977Fax(606) 324-0541Authorized OfficialNameBond, John A (President)Phone(606) 329-0977Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode207QG0300XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID000000049259DescriptionOtherIssuerANTHEMKentuckyID65931339DescriptionMedicaidIssuerUnlistedKentucky