Organization
PRIMARY CARE MEDICAL CENTER
Active
Other names
ROBERT C HUGHES MD
Organization subpart
No
Provider details
NPI number
Authorized official
DIRENDIA SHACKELFORD (MANAGED CARE SPEC ALLSCRIPTS)
(800) 654-0889
Entity
Organization
Contact information
Practice address
300 S 8TH ST, STE 480W, MURRAY, KY 42071-2400
(270) 759-9200
(270) 759-9966
Mailing address
300 S 8TH ST, STE 480W, MURRAY, KY 42071-2400
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
22158
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1829437
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
64221583
—
KY
Enumeration date
06/24/2006
Last updated
08/22/2020
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