# FAMILY MEDICAL C ENTER OF HART COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FAMILY MEDICAL CENTER OF HART COUNTY
- **Other names:** Family Medical Center of Hart County Non-RHC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306020326
- **Legal business name:** FAMILY MEDICAL CENTER OF HART COUNTY
- **Authorized official:** MR. JAMES WALLACE MIDDLETON M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (270) 524-7231

## Contact information

- **Practice address:** 205 WASHINGTON ST, MUNFORDVILLE, KY 42765-8900
- **Practice address phone:** (270) 524-7800
- **Mailing address:** PO BOX 579, MUNFORDVILLE, KY 42765-0579
- **Mailing address phone:** (270) 524-7231
- **Mailing address fax:** (270) 524-7415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/27/2007
- **Last updated:** 01/29/2021