# PROFESSIONAL MEDICAL HEALTH CARE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164406237
- **Authorized official:** MR. DANNY HARRIS (CFO)
- **Authorized official phone:** (606) 218-3500

## Contact information

- **Practice address:** 1500 MAIN STREET, INEZ, KY 41224
- **Practice address phone:** (606) 218-3500
- **Practice address fax:** (606) 218-4560
- **Mailing address:** 1500 MAIN STREET, INEZ, KY 41224
- **Mailing address phone:** (606) 218-3500
- **Mailing address fax:** (606) 218-4560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | 730055 | KY | Yes |

## Other

- **Enumeration date:** 12/02/2005
- **Last updated:** 09/08/2008
