Organization
EAST KY HEALTH SERVICE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENNY RAY BAILEY PH.D (EXECUTIVE DIR / CEO)
(606) 785-3164
Entity
Organization
Contact information
Practice address
566 HIGHWAY 899 # 849, HINDMAN, KY 41822-8955
(606) 785-3164
(606) 785-0107
Mailing address
PO BOX 849, HINDMAN, KY 41822-0849
(606) 785-3164
(606) 785-0107
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100798320
—
KY
Enumeration date
06/10/2021
Last updated
12/09/2022
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