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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