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Organization

TRI-COUNTY HEALTH CARE, INC.

Active
Other names
Edmonson Health Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TERRY LYNN SKAGGS (CFO)
(270) 926-9355
Entity
Organization

Contact information

Practice address
813 S MAIN ST, BROWNSVILLE, KY 42210-9009
(270) 597-2335
(270) 597-2959
Mailing address
725 HARVARD DR, OWENSBORO, KY 42301-6185
(270) 926-9355
(270) 684-6283

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
100680
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0945080001
PART B SUPPLIER
KY
05
12502852
KY
Enumeration date
07/11/2005
Last updated
08/22/2020
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