Organization
RECONNECT OF PIKEVILLE PSC
Active
Other names
Reconnect of Pikeville PSC
Organization subpart
No
Provider details
NPI number
Authorized official
BILL WEBB DO (OWNER/PROVIDER)
(606) 637-2256
Entity
Organization
Contact information
Practice address
59 THACKER RD, PIKEVILLE, KY 41501-3030
(606) 637-2256
(606) 637-2255
Mailing address
PO BOX 2802, PIKEVILLE, KY 41502-2802
(606) 637-2256
(606) 637-2255
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
OIG
KY
05
—
PENDING
—
KY
Enumeration date
04/23/2021
Last updated
04/23/2021
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