Organization
AMBULATORY CARE SERVICES PLLC
Active
Organization
AMBULATORY CARE SERVICES PLLC
Active
Other names
SAINT LUKE'S FAMILY AND MULT I SPECIALTY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN M SANTOS M.D. (PARTNER)
(606) 668-9076
Entity
Organization
Contact information
Practice address
31 MAIN ST, CAMPTON MEDICAL ARTS, SUITE I, CAMPTON, KY 41301-9750
(606) 668-9076
(606) 668-7488
Mailing address
12 JACKSON HTS, JACKSON, KY 41339-6500
(606) 693-0199
(606) 666-9480
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31000961
—
KY
Enumeration date
12/14/2006
Last updated
02/02/2022
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