Organization
MARTIN COUNTY RURAL HEALTH CLINIC PLLC
Active
Organization
MARTIN COUNTY RURAL HEALTH CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOIN HANA MD (OWNER)
(606) 886-1173
Entity
Organization
Contact information
Practice address
64 KIRK PLZ, INEZ, KY 41224-6501
(606) 298-2520
(606) 298-2522
Mailing address
PO BOX 697, PRESTONSBURG, KY 41653-0697
(606) 886-1173
(606) 886-2193
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64126055
—
KY
Enumeration date
03/17/2014
Last updated
11/02/2017
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