# HIGHLANDS MEDICAL PARTNERS II

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

## Provider details

- **NPI number:** 1720211618
- **Authorized official:** MR. JACK BLACKWELL (MANAGING PARTNER)
- **Authorized official phone:** (606) 886-7548

## Contact information

- **Practice address:** 5230 KY ROUTE 321, SUITE 2, PRESTONSBURG, KY 41653-9168
- **Practice address phone:** (606) 886-7747
- **Practice address fax:** (606) 886-1316
- **Mailing address:** 5230 KY ROUTE 321, SUITE 2, PRESTONSBURG, KY 41653-9168
- **Mailing address phone:** (606) 886-7747
- **Mailing address fax:** (606) 886-1316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/26/2009
- **Last updated:** 08/26/2009