# NORTH FORK VALLEY COMMUNITY HEALTH BOARD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** UK NFVCHC Homeplace Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912191032
- **Authorized official:** MICHAEL W STANLEY MD (EXECUTIVE)
- **Authorized official phone:** (606) 439-1559

## Contact information

- **Practice address:** 238 WILLIE FAYE DRIVE, ARY, KY 41712-0096
- **Practice address phone:** (606) 439-1559
- **Mailing address:** 750 MORTON BLVD, HAZARD, KY 41701-9469
- **Mailing address phone:** (606) 439-1559

## Taxonomy

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

## Other

- **Enumeration date:** 08/31/2007
- **Last updated:** 11/07/2007