MEDICARE: POOLE'S CLINICAL SOLUTIONS, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QH0100X	Health Service Clinic/Center
2	261QP2300X	Primary Care Clinic/Center
3	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1548963309
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POOLE'S CLINICAL SOLUTIONS, INC.

Provider Business Mailing Address
First Line	:	PO BOX 91
Second Line	:
City	:	LIVERMORE
State	:	KY
Zip	:	42352-0091
Country	:	US
Telephone Number	:	270-486-1534
Fax Number	:	270-278-2369

Provider Business Practice Location Address
First Line	:	102 W BROAD ST
Second Line	:
City	:	CENTRAL CITY
State	:	KY
Zip	:	42330-1538
Country	:	US
Telephone Number	:	270-754-1545
Fax Number	:	270-754-9069

Authorized Official
Title or Position	:	PRESIDENT/OWNER/PHARMACIST
Name	:	MR. RON STEVEN POOLE
Credential	:	R.PH.
Telephone Number	:	270-543-3886

Provider Enumeration Date	:	03/22/2023
Last Update Date	:	05/07/2025

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