Organization
PRIMARY CARE MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT C HUGHES MD (MANAGING PARTNER)
(270) 759-9200
Entity
Organization
Contact information
Practice address
1000 S 12TH ST, MURRAY, KY 42071-9303
(270) 759-9200
(270) 759-9966
Mailing address
1000 S 12TH ST, MURRAY, KY 42071-9303
(270) 759-9200
(270) 759-9966
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
R0855
KY
208000000X
Pediatrics Physician
—
—
363A00000X
Physician Assistant
—
KY
363LF0000X
Family Nurse Practitioner
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000060296
ANTHEM GROUP PROV NUMBER
KY
05
—
65922809
—
KY
01
—
C10499
RAILROAD MEDICARE GRP NUM
KY
Enumeration date
11/11/2005
Last updated
01/31/2018
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