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Organization

CARLISLE CLINIC, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANET TAMAREN M.D. (OWNER)
(859) 289-4124
Entity
Organization

Contact information

Practice address
107 S BROADWAY ST, CARLISLE, KY 40311-1150
(859) 289-4124
(859) 289-4126
Mailing address
107 S BROADWAY ST, CARLISLE, KY 40311-1150
(859) 289-4124
(859) 289-4126

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
900162
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
35001676
KY
Enumeration date
06/24/2006
Last updated
03/11/2008
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