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Organization
CASEY COUNTY HOSPITAL DISTRICT
Active
Organization
CASEY COUNTY HOSPITAL DISTRICT
Active
Parent organization
CASEY COUNTY PRIMARY CARE
Other names
CASEY COUNTY PRIMARY PHY GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
CASEY COUNTY PRIMARY CARE
Authorized official
REX A TUNGATE (CEO)
(270) 384-4753
Entity
Organization
Contact information
Practice address
187 WOLFORD AVE, LIBERTY, KY 42539-3278
(606) 787-8348
Mailing address
187 WOLFORD AVE, LIBERTY, KY 42539-3278
(606) 787-8348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65909897
—
KY
Enumeration date
03/04/2008
Last updated
03/04/2008
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