Organization
PINEVILLE COMMUNITY HOSPITAL ASSOCIATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN COUCH (CONTROLLER)
(606) 337-4282
Entity
Organization
Contact information
Practice address
850 RIVERVIEW RD, PINEVILLE, KY 40977-1430
(606) 337-3051
(606) 337-2871
Mailing address
850 RIVERVIEW RD, PINEVILLE, KY 40977-1430
(606) 337-3051
(606) 337-2871
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000206420
ANTHEM BCBS
KY
05
—
74900234
—
KY
Enumeration date
10/05/2006
Last updated
03/22/2018
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