MEDICARE: GILBERT BARBEE MOORE & MCILVOY, PSC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR1300X	Rural Health Clinic/Center

General Provider Information

NPI Number	:	1285523274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GILBERT BARBEE MOORE & MCILVOY, PSC

Provider Business Mailing Address
First Line	:	201 PARK ST
Second Line	:
City	:	BOWLING GREEN
State	:	KY
Zip	:	42101-1708
Country	:	US
Telephone Number	:	270-781-5111
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 PARK PL STE 4
Second Line	:
City	:	BROWNSVILLE
State	:	KY
Zip	:	42210-9036
Country	:	US
Telephone Number	:	270-597-8353
Fax Number	:	270-937-3120

Authorized Official
Title or Position	:	CEO
Name	:	MICHAEL E D'ERAMO
Credential	:
Telephone Number	:	270-780-0549

Provider Enumeration Date	:	07/02/2025
Last Update Date	:	07/02/2025

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