Organization
RURAL HEALTH PLLC
Active
Organization
RURAL HEALTH PLLC
Active
Other names
Berea Walk-In Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
FADI BACHA MD (PRESIDENT/OWNER)
(859) 312-9674
Entity
Organization
Contact information
Practice address
245 PRINCE ROYAL DR, SUITE A, BEREA, KY 40403-1471
(859) 582-7663
(859) 335-1560
Mailing address
245 PRINCE ROYAL DR, SUITE A, BEREA, KY 40403-1471
(859) 582-7663
(859) 335-1560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32006
KY
363A00000X
Physician Assistant
PA1103
KY
363L00000X
Nurse Practitioner
3008382
KY
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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