Organization
FRONTIER MEDICAL ASSOCIATES OF PAINTSVILLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTOIN HANA MD (MD)
(606) 372-1234
Entity
Organization
Contact information
Practice address
713 BROADWAY ST STE 301B, PAINTSVILLE, KY 41240-1465
(606) 372-1234
(606) 372-1240
Mailing address
PO BOX 280, PRESTONSBURG, KY 41653-0280
(606) 372-1234
(606) 372-1240
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207R00000X
Internal Medicine Physician
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100689940
—
KY
05
—
7100690030
—
KY
05
—
7100690060
—
KY
05
—
7100690430
—
KY
05
—
7100690460
—
KY
Enumeration date
07/20/2020
Last updated
05/25/2021
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