Organization
MOREHEAD STATE UNIVERSITY
Active
Parent organization
MOREHEAD STATE UNIVERSITY
Other names
Morehead State University Counsel & Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOREHEAD STATE UNIVERSITY
Authorized official
MRS. SHANNON SMITH STEPHENS DNP, APRN (DIRECTOR)
(606) 783-2123
Entity
Organization
Contact information
Practice address
112 ALLIE YOUNG HALL, MOREHEAD, KY 40351-1684
(606) 783-2885
(606) 783-9106
Mailing address
112 ALLIE YOUNG HALL, MOREHEAD, KY 40351-1684
(606) 783-2885
(606) 783-9106
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
KY
103T00000X
Psychologist
0668
KY
1041C0700X
Clinical Social Worker
—
KY
1223G0001X
General Practice Dentistry
—
—
207Q00000X
Family Medicine Physician
03203
KY
363L00000X
Nurse Practitioner
Primary
3004857
KY
363L00000X
Nurse Practitioner
3796P
KY
363LF0000X
Family Nurse Practitioner
3002104
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000231892
ANTHEM BCBS
—
01
—
000000298213
ANTHEM BCBS
KY
01
—
000000609845
ANTHEM BCBS
KY
01
—
000000623843
ANTHEM BCBS
KY
05
—
2826311
—
OH
05
—
2973242
—
OH
05
—
30610026
—
KY
05
—
7100034230
—
KY
05
—
7100092610
—
KY
05
—
78010220
—
KY
01
—
K021100
MEDICARE GROUP
KY
01
—
P00754288
RR MEDICARE
KY
Enumeration date
08/26/2011
Last updated
03/31/2017
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