East Ky Health Service Center

NPI 1376648139 - Clinic/Center - 261QD0000X

NPI Details
NPI 1376648139
Enumeration Date 09/14/2006
Last Updated 06/21/2016
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BENNY RAY BENNY
Position EXECUTIVE DIRECTOR
Phone (606) 785-3164
Fax (606) 785-0107
Practice Location
566 HIGHWAY 899
HINDMAN KY, 41822-0849, US
Phone (606) 785-3164
Fax (606) 785-0107
Business Location
PO BOX 849
566 HWY 899
HINDMAN KY, 41822-0849, US
Phone (606) 785-3164
Fax (606) 785-0107
Toxanomy
Taxonomy Code 261QD0000X
License State Kentucky
License Number 6629
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According to our database, East Ky Health Service Center NPI is 1376648139, taxonomy code is 261QD0000X and license number is 6629, license state is located at Kentucky. East Ky Health Service Center physically located at 566 Highway 899, Hindman KY, 41822-0849. NPI Number 1033115704 has the healthcare provider type.

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1376648139 NPI number is provided on an as is basis without warranty of any kind. 1376648139 is maintained by the National Plan & Provider Enumeration System. The contents of East Ky Health Service Center are for informational purposes only.