Organization
ON SITE SCREENING, LLC
Active
Other names
Russell Fork Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DELENA L JOHNSON (MEMBER)
(606) 794-1812
Entity
Organization
Contact information
Practice address
10363 REGINA BELCHER HWY, STE 101, ELKHORN CITY, KY 41522-8510
(606) 794-1812
Mailing address
10363 REGINA BELCHER HWY, STE 101, ELKHORN CITY, KY 41522-8510
(606) 794-1812
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
KY
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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