# ADAIR COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EDMONTON PRIMARY CARE
- **Other names:** Edmonton Primary Care Med Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1437321494
- **Legal business name:** EDMONTON PRIMARY CARE
- **Authorized official:** REX A TUNGATE (CEO)
- **Authorized official phone:** (270) 384-4753

## Contact information

- **Practice address:** 903 WEST STOCKTON STREET, EDMONTON, KY 42129
- **Practice address phone:** (270) 384-4753
- **Mailing address:** 903 WEST STOCKTON STREET, EDMONTON, KY 42129
- **Mailing address phone:** (270) 384-4753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 900028 | KY | Yes |

## Other

- **Enumeration date:** 03/31/2008
- **Last updated:** 03/31/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6590990500 | — | KY |