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Organization

PINEVILLE MEDICAL CENTER, LLC

Active
Parent organization
PINEVILLE MEDICAL CENTER, LLC
Other names
Southeastern KY Total Care RHC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PINEVILLE MEDICAL CENTER, LLC
Authorized official
KEVIN COUCH (CONTROLLER)
(606) 337-3051
Entity
Organization

Contact information

Practice address
121 W VIRGINIA AVE, PINEVILLE, KY 40977-1661
(606) 337-3051
(606) 337-2871
Mailing address
850 RIVERVIEW AVE, PINEVILLE, KY 40977-1452
(606) 337-3051
(606) 337-2871

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
05/10/2018
Last updated
05/10/2018
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