MEDICARE: IN HOUSE PRIMARY CARE SERVICES PLLC

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	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1841500998
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IN HOUSE PRIMARY CARE SERVICES PLLC

Provider Business Mailing Address
First Line	:	PO BOX 38
Second Line	:
City	:	BOONEVILLE
State	:	KY
Zip	:	41314-0038
Country	:	US
Telephone Number	:	606-593-6400
Fax Number	:	606-593-8114

Provider Business Practice Location Address
First Line	:	453 OLD KY 11
Second Line	:
City	:	BOONEVILLE
State	:	KY
Zip	:	41314-0038
Country	:	US
Telephone Number	:	606-593-6400
Fax Number	:	606-593-8114

Authorized Official
Title or Position	:	OWNER
Name	:	DARLENE WILSON
Credential	:	APRN
Telephone Number	:	606-593-6400

Provider Enumeration Date	:	10/07/2010
Last Update Date	:	05/31/2023

Similar Medicare Providers

1528160066 — DARLENE WILSON APRN
Practice Location Address:

453 OLD KY 11
BOONEVILLE, KY
41314-0038

Practice Phone: 606-593-6400
Practice Fax: 606-593-8114

1245189810 — MAKALA NICOLE MARSHALL
Practice Location Address:

300 KY 1768
BOONEVILLE, KY
41314-7013

Practice Phone: 606-233-6654
Practice Fax:

1891792362 — ALLENS AMBULANCE SERVICE INC
Practice Location Address:

83 MAIN STREET
BOONEVILLE, KY
41314

Practice Phone: 606-593-5849
Practice Fax: 606-593-5237

1043257827 — MOUNTAIN COMPREHENSIVE HEALTH CORPORATION
Practice Location Address:

826 KY 11 N
BOONEVILLE, KY
41314-9155

Practice Phone: 606-593-6395
Practice Fax: 606-593-5916

1205862836 — JORDAN DRUG, INC.
Practice Location Address:

820 HWY 11 NORTH
BOONEVILLE, KY
41314

Practice Phone: 606-593-6306
Practice Fax: 606-593-6859

1750397139 — KENTUCKY RIVER DISTRICT HEALTH DEPARTMENT
Practice Location Address:

HIGHWAY 28
BOONEVILLE, KY
41314

Practice Phone: 606-593-5181
Practice Fax: 606-593-7438

Directions to “IN HOUSE PRIMARY CARE SERVICES PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.