Organization
THREE RIVERS MEDICAL CLINICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA J FEY (SR. DIRECTOR PHYSICIAN REV CYCLE)
(615) 221-3641
Entity
Organization
Contact information
Practice address
HWY 644, TRM PLAZA, LOUISA, KY 41230
(606) 638-1154
(606) 638-4502
Mailing address
1573 MALLORY LN STE 100, BRENTWOOD, TN 37027-2895
(152) 221-1400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011024000
—
WV
05
—
65925430
—
KY
05
—
7000008860
—
KY
05
—
78903465
—
KY
Enumeration date
09/14/2006
Last updated
07/07/2023
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