Organization
HORSLEY, PSC
Active
Parent organization
HORSLEY, PSC
Other names
Southern Regional Open MRI
Organization subpart
Yes
Provider details
NPI number
Legal business name
HORSLEY, PSC
Authorized official
MRS. MICHELLE DOUGLAS (CREDENTIALING MANAGER)
(502) 403-1401
Entity
Organization
Contact information
Practice address
611 HAMMOND PLZ, HOPKINSVILLE, KY 42240-4971
(270) 885-1950
(270) 885-4431
Mailing address
611 HAMMOND PLZ, HOPKINSVILLE, KY 42240-4971
(270) 885-1950
(270) 885-4431
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518114
—
TN
01
—
300102264
MEDICARE RR
KY
05
—
64230873
—
KY
Enumeration date
05/24/2005
Last updated
02/17/2014
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