Organization
CORBIN RURAL HEALTH CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY S CAMPBELL ARNP (PRESIDENT)
(606) 524-0966
Entity
Organization
Contact information
Practice address
1013 MASTER ST, CORBIN, KY 40701-1065
(606) 280-7772
(606) 620-5416
Mailing address
870 CORPORATE DR, SUITE 400, LEXINGTON, KY 40503-5416
(859) 277-9436
(859) 977-0092
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
1077883
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000522081
ANTHEM BCBS
—
05
—
78006202
—
KY
01
—
P00305163
RAILROAD MEDICARE
—
Enumeration date
07/29/2008
Last updated
02/01/2010
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