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Primary Care Centers Of Eastern Kentucky, Llc

Primary Care Centers Of Eastern Kentucky, Llc is a health care provider in Hazard, KY. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 58 West Hwy 80, Hindman, KY 41822, US
Practice Location Phone606-785-1300
Practice Location Fax606-785-1302
Legal Business NamePRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC
Other Organization NamePRIMARY CARE CENTERS OF EASTERN KY-HINDMAN
Other Organization Name TypeDoing Business As Name
NPI ?1356395198
Entity TypeOrganization
Enumeration Date ? May 19, 2006
Last Update Date ? Nov 16, 2010
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Primary Care Centers Of Eastern Kentucky, Llc

SpecialtySpecializationLicenseLicense State
Clinic/CenterRural Health

legacy-id-icon Legacy Provider IDs of Primary Care Centers Of Eastern Kentucky, Llc

Provider IdIssuer StateIssuer TypeIssuer
35002047KentuckyMedicaid
183947KentuckyMedicare Oscar/certification
00051KentuckyMedicare Pin

official-icon Authorized Official of Primary Care Centers Of Eastern Kentucky, Llc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Primary Care Centers Of Eastern Kentucky, Llc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Barry K Martin
Authorized Official Title/PositionCEO
Authorized Official Phone Number606-439-1300