# ASHLAND PRIMARY CARE PSC

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

## Provider details

- **NPI number:** 1639232127
- **Authorized official:** MR. JOHN A BOND MD (PRESIDENT)
- **Authorized official phone:** (606) 329-0977

## Contact information

- **Practice address:** 1200 CENTRAL AVE, SUITE 1, ASHLAND, KY 41101
- **Practice address phone:** (606) 329-0977
- **Practice address fax:** (606) 324-0541
- **Mailing address:** 1200 CENTRAL AVE, SUITE 1, ASHLAND, KY 41101
- **Mailing address phone:** (606) 329-0977
- **Mailing address fax:** (606) 324-0541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 09/25/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000049259 | ANTHEM | KY |
| 05 | — | 65931339 | — | KY |