T.j. Samson Community Hospital-fountain Run Clinic

NPI 1275674061 - Clinic/Center - 261Q00000X

NPI Details
NPI 1275674061
Enumeration Date 02/12/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DEBORAH K DEBORAH
Position ARNP
Phone (270) 434-4857
Fax (270) 434-4957
Practice Location
47 AKERSVILLE ROAD
FOUNTAIN RUN KY, 42133, US
Phone (270) 434-4857
Fax (270) 434-4957
Business Location
1887 ERWIN RD
SCOTTSVILLE KY, 42164-9033, US
Phone (270) 618-4415
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State Kentucky
License Number 900080
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According to our database, T.j. Samson Community Hospital-fountain Run Clinic NPI is 1275674061, taxonomy code is 261Q00000X and license number is 900080, license state is located at Kentucky. T.j. Samson Community Hospital-fountain Run Clinic physically located at 47 Akersville Road, Fountain Run KY, 42133. NPI Number 1033115704 has the healthcare provider type.

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1275674061 NPI number is provided on an as is basis without warranty of any kind. 1275674061 is maintained by the National Plan & Provider Enumeration System. The contents of T.j. Samson Community Hospital-fountain Run Clinic are for informational purposes only.