Provider Demographics
NPI:1013994391
Name:CLAIRE-FRANCES HEALTH SERVICES
Entity type:Organization
Organization Name:CLAIRE-FRANCES HEALTH SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:BLAKE
Authorized Official - Last Name:GILLUM
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:606-325-1115
Mailing Address - Street 1:1557 WINCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-7636
Mailing Address - Country:US
Mailing Address - Phone:606-325-1115
Mailing Address - Fax:606-324-4663
Practice Address - Street 1:1557 WINCHESTER AVE
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-7636
Practice Address - Country:US
Practice Address - Phone:606-325-1115
Practice Address - Fax:606-324-4663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-28
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYP06922332B00000X
3336H0001X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000299179OtherBLUE CROSS PROVIDER ID
OH2458871Medicaid
KY54006200Medicaid
WV6005098-000Medicaid
WV6005098-000Medicaid