Organization
PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC
Active
Parent organization
PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC
Authorized official
RAEDAWNUA JADE STRUNK (CREDENTIALING)
(606) 435-7642
Entity
Organization
Contact information
Practice address
47 HIGHWAY 119 S, WHITESBURG, KY 41858-6100
(606) 439-1300
(606) 439-1400
Mailing address
PO BOX 1988, HAZARD, KY 41702-1988
(606) 435-7642
(606) 436-5282
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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