Organization
VMD PRIMARY PROVIDERS CENTRAL KENTUCKY
Active
Organization
VMD PRIMARY PROVIDERS CENTRAL KENTUCKY
Active
Other names
VILLAGE MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA RAGER (DIRECTOR REVENUE CYCLE)
(844) 969-0686
Entity
Organization
Contact information
Practice address
325 W WALNUT ST STE 600, LEBANON, KY 40033-1378
(270) 699-9500
(270) 699-9550
Mailing address
4650 WESTWAY PARK BLVD STE 206, HOUSTON, TX 77041-2006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
01/14/2025
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