Organization
PIKEVILLE MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE HAGY (CFO)
(606) 218-3500
Entity
Organization
Contact information
Practice address
911 BYPASS RD, PIKEVILLE, KY 41501-1689
(606) 218-3500
(606) 218-4562
Mailing address
PO BOX 2917, PIKEVILLE, KY 41502-2917
(606) 218-3500
(606) 218-4562
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65922361
—
KY
05
—
7100075930
—
KY
Enumeration date
04/02/2009
Last updated
03/25/2011
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