Organization
LOURDES MEDICAL PAVILION
Active
Other names
Surgicare Center
Organization subpart
No
Provider details
NPI number
Authorized official
JIM WRING (PRESIDENT/CEO)
(270) 441-4181
Entity
Organization
Contact information
Practice address
225 MEDICAL CENTER DR STE 105, PADUCAH, KY 42003-7914
(270) 441-4500
(270) 441-4171
Mailing address
PO BOX 8329, PADUCAH, KY 42002-8329
(270) 441-4125
(270) 441-4171
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
300114
KY
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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