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108 School St Hazard KY 41701-1071 | |
(606) 487-0776 | |
(606) 487-0777 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 108 School St, Hazard, Kentucky |
Authorized Official Name and Position | Phillip Randy Mullins (COO) |
Authorized Official Contact | 6064870776 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1297 Hazard KY 41702-1297 Ph: (606) 487-0776 | 108 School St Hazard KY 41701-1071 Ph: (606) 487-0776 |
NPI Number | 1356410278 |
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Provider Enumeration Date | 11/07/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1356410278 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 29445 (Kentucky) | Primary |
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