Organization
ADAIR COUNTY HOSPITAL GROUP
Active
Parent organization
WESTLAKE PRIMARY CARE
Other names
Westlake Primary Care Physician Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTLAKE PRIMARY CARE
Authorized official
MR. REX A TUNGATE CEO (CEO)
(270) 384-4753
Entity
Organization
Contact information
Practice address
810 JAMESTOWN ST, COLUMBIA, KY 42728-1010
(270) 384-4753
Mailing address
810 JAMESTOWN ST, COLUMBIA, KY 42728-1010
(270) 384-4753
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65909913
—
KY
Enumeration date
03/04/2008
Last updated
03/04/2008
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