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Organization
ADAIR COUNTY HOSPITAL DISTRICT
Active
Organization
ADAIR COUNTY HOSPITAL DISTRICT
Active
Parent organization
WESTLAKE PRIMARY CARE
Other names
WESTLAKE PRIMARY CARE NP GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTLAKE PRIMARY CARE
Authorized official
MR. REX A TUNGATE CEO (CEO)
(270) 384-4753
Entity
Organization
Contact information
Practice address
810 JAMESTOWN ST, COLUMBIA, KY 42728-1010
(270) 384-4764
Mailing address
810 JAMESTOWN ST, COLUMBIA, KY 42728-1010
(270) 384-4753
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78902186
—
KY
Enumeration date
03/05/2008
Last updated
03/05/2008
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