MEDICARE: DR. PHIL AARON MEDICAL CENTER, 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	261QR1300X	Rural Health Clinic/Center	900046	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689676850
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. PHIL AARON MEDICAL CENTER, PLLC

Provider Business Mailing Address
First Line	:	805 BURKESVILLE ST
Second Line	:
City	:	COLUMBIA
State	:	KY
Zip	:	42728-1655
Country	:	US
Telephone Number	:	270-384-1110
Fax Number	:	270-384-3436

Provider Business Practice Location Address
First Line	:	805 BURKESVILLE ST
Second Line	:
City	:	COLUMBIA
State	:	KY
Zip	:	42728-1655
Country	:	US
Telephone Number	:	270-384-1110
Fax Number	:	270-384-3436

Authorized Official
Title or Position	:	MANAGER MEMBER
Name	:	DR. PHIL AARON
Credential	:	MD
Telephone Number	:	270-384-1110

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	02/25/2008

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