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Organization

RURAL SERVICE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FADI BACHA MD (OWNER)
(859) 312-9674
Entity
Organization

Contact information

Practice address
300 VIKING DR., MOREHEAD, KY 40351
(606) 462-3763
(859) 368-7681
Mailing address
300 VIKING DR., MOREHEAD, KY 40351
(606) 462-3763
(859) 368-7681

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
261QR1300X
Rural Health Clinic/Center
Primary
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
03/02/2022
Last updated
10/12/2023
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