Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 62 Ky Route 306, Bypro, Kentucky |
Authorized Official Name and Position | Hollie Harris (PRESIDENT AND CEO) |
Authorized Official Contact | 8592262511 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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100 Airport Gardens Rd Hazard KY 41701-9529 Ph: (606) 487-7524 | 62 Ky Route 306 Bypro KY 41612 Ph: (606) 452-1700 |
NPI Number | 1871189019 |
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Provider Enumeration Date | 12/11/2020 |
Last Update Date | 09/20/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871189019 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |