Organization
PIKEVILLE MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HAGY (CFO)
(606) 218-3500
Entity
Organization
Contact information
Practice address
1370 S MAYO TRL, PIKEVILLE, KY 41501-2332
(606) 218-4570
(606) 218-4587
Mailing address
PO BOX 2917, PIKEVILLE, KY 41502-2917
(606) 218-4570
(606) 218-4587
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
150185
KY
251X00000X
Supports Brokerage Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000249784
PROVIDER NUMBER BC/BS
KY
01
—
320132
PROVIDER NO. BLACK LUNG
KY
05
—
34000117
—
KY
05
—
42000067
—
KY
Enumeration date
05/24/2005
Last updated
03/14/2016
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