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Ambulatory Health Care Facilities Clinic/Center Primary Care

Provider NPI: 1396048872

Organization Information:
Organization is not Subpart
Authorized Official:  EYAD  ALBAREE  PARTNER  606-349-8100

Practice Location:
98 RIVER ST  CLAY CITY, KY 40312-1314 US
Tel: 606-663-7788  Fax: 606-663-7785

Business Mailing Address:
PO BOX 280  PRESTONSBURG, KY 41653-0280 US
Tel: 606-349-8100  Fax: 606-349-8150

NPI Information:
NPI: 1396048872
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Y261QP2300XAmbulatory Health Care Facilities
Primary Care

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 261QP2300X





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