JO-ANN N. BOLLI, M. D., P.S.C.


Address: 308 S Washington St, Suite 201, Clinton, KY 42031-1340
Phone: 2706534070

JO-ANN N. BOLLI, M. D., P.S.C. (NPI# 1003153321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003153321
Entity Type Organization
Organization Name JO-ANN N. BOLLI, M. D., P.S.C.
Practice Address 308 S Washington St
Suite 201
Clinton
KY 42031-1340
Mailing Address 308 S Washington St Ste 201
P. O. Box 123
Clinton
KY 42031-1347
Practice Telephone 2706534070
Practice Fax Number 2706534007
Mailing Telephone 2706534070
Mailing Fax Number 2706534007
Enumeration Date 2013-01-07
Last Update Date 2013-01-07
Authorized Official Name DR. JO-ANN NADEAU BOLLI (OWNER)
Authorized Official Telephone 2706534070
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QP2300X Clinic/Center
Specialization: Primary Care
28789 KY Ambulatory Health Care Facilities
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
28789 KY Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
KY 64287899 05

Office Location

Street Address 308 S WASHINGTON ST
SUITE 201
City CLINTON
State KY
Zip Code 42031-1340

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134198526 Jo Ann N Bolli Obstetrics & Gynecology 308 S Washington St, Clinton, KY 42031-1340 2006-03-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780102301 Communtiy Healthcare of Western Kentucky LLC Clinic/Center 308 South Washington Street Suite 200, Clinton, KY 42031 2017-09-04
1053569442 Hickman County High School Clinic Public Health or Welfare 301 East Cresap Street, Clinton, KY 42031 2008-08-28
1437186657 Purchase District Health Dept Public Health or Welfare 370 S Washington Street, Clinton, KY 42031 2006-06-26
1104800101 Arbor Place of Clinton Skilled Nursing Facility 106 Padgett Drive, Clinton, KY 42031 2005-12-02
1902954118 Clinton-hickman County Ambulance Service Inc Ambulance 324 James H Phillips Dr, Clinton, KY 42031-0083 2007-01-07
1568902427 Clinton Pharmacy LLC Pharmacy 119 E Clay St, Clinton, KY 42031-1222 2017-02-26
1932131356 Byassee Drug Company Inc Durable Medical Equipment & Medical Supplies 107 E Clay St, Clinton, KY 42031-1222 2006-07-07
1174087647 Clinton Pharmacy LLC Pharmacy 119 E Clay St, Clinton, KY 42031-1222 2019-01-29
1205048873 John Garland Byassee Pharmacist 107 E Clay St, Clinton, KY 42031-1222 2007-05-04
1275617755 Perkins Pharmacy Durable Medical Equipment & Medical Supplies 119 E Clay St, Clinton, KY 42031-1222 2006-10-24
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861882011 Freedom House Inc Clinic/Center 2004 Route 31 North, Suite 2, Clinton, NJ 08809 2015-01-27
1972532075 Laurens County Commission On Alcohol and Drug Abuse Clinic/Center 219 Human Services Road, Clinton, SC 29325 2006-07-01
1053766865 Compass Health, Inc. Clinic/Center 1800 Community, Clinton, MO 64735-8804 2016-04-29
1851610042 Compass Health, Inc. Clinic/Center 1800 Community, Clinton, MO 64735-8804 2010-05-27
1861720260 Compass Health, Inc. Clinic/Center 1800 Community, Clinton, MO 64735-8804 2009-11-23
1770811382 Pathways Community Behavioral Healthcare, Inc. Clinic/Center 1800 Community, Clinton, MO 64735-8804 2009-11-20
1215160049 Dewitt County Human Resource Center Clinic/Center 1150 Route 54 W, Clinton, IL 61727-2148 2009-08-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447858642 Salem Health Care Group LLC Clinic/Center 501 North Hayden Avenue, Salem, KY 42028 2020-10-12
1053934836 Roaring Brook LLC Clinic/Center 600 Perimeter Dr Ste 125, Lexington, KY 40517-4296 2020-05-27
1902442585 Lake Cumberland Recovery, Inc Clinic/Center 8294 S Highway 27, Burnside, KY 42519-9412 2019-11-19
1073075792 Applegate Health Services, Inc Clinic/Center 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 2019-04-02
1194295089 Freedom Bridge To Recovery LLC Clinic/Center 1307 Magnolia St, Bowling Green, KY 42104-3050 2018-12-04
1619450186 Pax House Inc. Clinic/Center 2305 Hurstbourne Village Dr Ste 600, Louisville, KY 40299-2875 2018-09-11
1063999761 Landmark Recovery Outpatient Services LLC Clinic/Center 4112 Fern Valley Rd Ste B, Louisville, KY 40219-1973 2018-07-25
1144723453 Rose of Sharon House Clinic/Center 865 W Shelby St, Junction City, KY 40440-8502 2018-03-13
1477062487 New Legacy Recovery LLC Clinic/Center 1510 Newtown Pike Ste 120, Lexington, KY 40511-1255 2017-09-21
1710426960 The Liberty Ranch Rehabilitation Center Clinic/Center 2735 Ky Highway 501, Kings Mountain, KY 40442-9761 2017-02-21
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Competitor

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City CLINTON
Zip Code 42031

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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