Organization
MOUNTAIN INSTANT CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH DENISE ADAMS (OWNER)
(606) 633-7000
Entity
Organization
Contact information
Practice address
60 JENKINS RD, WHITESBURG, KY 41858-7601
(606) 633-7000
(606) 633-7000
Mailing address
PO BOX 635, WHITESBURG, KY 41858-0635
(606) 633-7000
(606) 633-7001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
4075P
KY
363LF0000X
Family Nurse Practitioner
4075P
KY
363LP2300X
Primary Care Nurse Practitioner
4075P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78010170
—
KY
Enumeration date
09/17/2010
Last updated
05/19/2015
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