Organization
EDMONTON PRIMARY CARE NURSING GROUP
Active
Parent organization
ADAIR COUNTY HOSPITAL DISTRICT
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADAIR COUNTY HOSPITAL DISTRICT
Authorized official
MR. REX A TUNGATE (CEO, ADMINISTRATOR)
(270) 384-4753
Entity
Organization
Contact information
Practice address
903 WEST STOCKTON STREET, EDMONTON, KY 42129
(270) 432-5782
(270) 432-0001
Mailing address
903 WEST STOCKTON STREET, EDMONTON, KY 42129
(270) 432-5782
(270) 432-0001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1854P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7890217800
—
KY
Enumeration date
03/28/2008
Last updated
03/28/2008
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