Organization
MARYMOUNT MEDICAL CENTER PHYSICIAN SERVICES
Active
Other names
Premier Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARMEL JONES (COO/VP FINANCE)
(606) 330-6015
Entity
Organization
Contact information
Practice address
1406 W 5TH ST, STE 201, LONDON, KY 40741-1688
(606) 330-2377
(606) 330-2369
Mailing address
740 E LAUREL RD, LONDON, KY 40741-8601
(859) 276-4429
(859) 276-5939
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
700216
KY
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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