| Pikeville Medical Center, Inc. | |
|
911 Bypass Rd Pikeville KY 41501-1689 | |
| (606) 218-3500 | |
| (606) 218-4562 |
| Full Name | Pikeville Medical Center, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 911 Bypass Rd, Pikeville, Kentucky |
| Authorized Official Name and Position | Michelle Hagy (CFO) |
| Authorized Official Contact | 6062183500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pikeville Medical Center, Inc. Po Box 2917 Pikeville KY 41502-2917 Ph: (606) 218-3500 | Pikeville Medical Center, Inc. 911 Bypass Rd Pikeville KY 41501-1689 Ph: (606) 218-3500 |
| NPI Number | 1457488744 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 05/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457488744 | NPI | - | NPPES |
| 7100032480 | Medicaid | KY | |
| 65928129 | Medicaid | KY | |
| 000000056961 | Other | KY | BCBS PHYSICIAN GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 261QS1200X | Clinic/center - Sleep Disorder Diagnostic | 730093 (Kentucky) | Secondary |
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