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Organization

WEBB PRIMARY CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GINGER WEBB APRN (OWNER)
(606) 253-3003
Entity
Organization

Contact information

Practice address
419 TOWN MOUNTAIN RD, SUITE 203, PIKEVILLE, KY 41501-1631
(606) 253-3003
(606) 253-3002
Mailing address
419 TOWN MOUNTAIN RD, SUITE 203, PIKEVILLE, KY 41501-1631
(606) 253-3003
(606) 253-3002

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
3008661
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000911648
ANTHEM BCBS
KY
01
202470645
ANTHEM KY MEDICAID
KY
01
363LA2200X
COVENTRY CARES
KY
05
363LA2200X
KY
Enumeration date
01/03/2016
Last updated
01/03/2016
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