Organization
HAZARD FAMILY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN S HELTON FNP-BC, APRN (OWNER)
(606) 233-8140
Entity
Organization
Contact information
Practice address
625 MEMORIAL DR STE 1, HAZARD, KY 41701-1380
(606) 435-0001
(606) 435-0058
Mailing address
625 MEMORIAL DRIVE, SUITE 1, HAZARD, KY 41701-1511
(606) 435-0001
(606) 435-0058
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3007238
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100200180
—
KY
Enumeration date
09/27/2017
Last updated
03/07/2023
Update your record
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