Organization
WILLIAM M COLLINS
Active
Other names
COLLINS RURAL HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
WILLAIM M COLLINS MD (OWNER)
(606) 633-4488
Entity
Organization
Contact information
Practice address
109 E MAIN ST, WHITESBURG, KY 41858-7351
(606) 633-4488
(606) 633-8383
Mailing address
109 E MAIN ST, WHITESBURG, KY 41858-7351
(606) 633-4488
(606) 633-8383
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
23375
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35000983
—
KY
01
—
48720
ATHEM BLUE
KY
01
—
64233752
MEDICAID
KY
Enumeration date
02/08/2007
Last updated
06/02/2014
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