# JASON T RICE DO PSC

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

## Provider details

- **NPI number:** 1487870408
- **Authorized official:** DR. JASON T RICE D.O. (PHYSICIAN)
- **Authorized official phone:** (606) 788-0303

## Contact information

- **Practice address:** 604 JAMES S TRIMBLE BOULEVARD, SUITE 1, PAINTSVILLE, KY 41240-1026
- **Practice address phone:** (606) 788-0303
- **Practice address fax:** (606) 788-0310
- **Mailing address:** PO BOX 628, PAINTSVILLE, KY 41240-0628
- **Mailing address phone:** (606) 788-0303
- **Mailing address fax:** (606) 788-0310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/18/2007
- **Last updated:** 07/29/2019