Organization
PINEVILLE ER SERVICES
Active
Parent organization
PINEVILLE ER SERVICES
Other names
Advanced Rural Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
PINEVILLE ER SERVICES
Authorized official
DR. VELUPILLAI WIGNAKUMAR MD (PRESIDENT)
(859) 619-1372
Entity
Organization
Contact information
Practice address
218 E PARK AVE, PINEVILLE, KY 40977-1720
(606) 302-5464
(606) 545-0135
Mailing address
1625 NICHOLASVILLE RD APT 201, LEXINGTON, KY 40503-1446
(859) 619-1372
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
06/16/2022
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