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Organization

KENTUCKYONE HEALTH MEDICAL GROUP INC

Active
Parent organization
CATHOLIC HEALTH INITIATIVES
Other names
KentuckyOne Health Primary Care Associates
Organization subpart
Yes

Provider details

NPI number
Legal business name
CATHOLIC HEALTH INITIATIVES
Authorized official
SHARON HAGER (SECRETARY)
(502) 569-7974
Entity
Organization

Contact information

Practice address
4620 MAIN ST, CLAY CITY, KY 40312-8801
(606) 663-4243
(606) 663-3665
Mailing address
250 E LIBERTY ST, SUITE 500, LOUISVILLE, KY 40202-1530
(502) 569-7940

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
1097815
KY

Other

Enumeration date
01/25/2017
Last updated
01/25/2017
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