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Organization

PATTIE A. CLAY INFIRMARY ASSN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PATRICIA ANN OLDS FACHE (VICE PRESIDENT)
(859) 625-3299
Entity
Organization

Contact information

Practice address
789 EASTERN BYP, SUITE 25, RICHMOND, KY 40475-2415
(859) 625-3299
(859) 625-3535
Mailing address
P.O. BOX 1600, RICHMOND, KY 40476-2603
(859) 625-3299
(859) 625-3535

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
100322
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5771
MEDICARE GROUP
KY
Enumeration date
09/07/2007
Last updated
08/18/2010
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