Organization
FRONTIER MEDICAL ASSOCIATES OF PAINTSVILLE INC
Active
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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