# UNIVERSITY OF KENTUCKY NORTHFORK VALLEY COUMMUNITY HEALTH BOARD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** UNIVERSITY OF KENTUCKY NORTH FORK VALLEY COUMMUNITY HEALTH BOARD, INC.
- **Other names:** UK June Buchanan Medical Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205095619
- **Legal business name:** UNIVERSITY OF KENTUCKY NORTH FORK VALLEY COUMMUNITY HEALTH BOARD, INC.
- **Authorized official:** MICHAEL STANLEY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (606) 436-1559

## Contact information

- **Practice address:** 59 COWTOWN ROAD, HINDMAN, KY 41822-9120
- **Practice address phone:** (606) 785-3175
- **Mailing address:** 750 MORTON BLVD, HAZARD, KY 41701-9469
- **Mailing address phone:** (606) 439-1559

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | — |
| 122300000X | Dentist | — | — | — |
| 183500000X | Pharmacist | — | NULL | — |
| 183500000X | Pharmacist | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 06/02/2008
- **Last updated:** 06/02/2008