Organization
GRAM RESOURCES INC
Active
Other names
Mountain Medical Clinic of Carr Creek
Organization subpart
No
Provider details
NPI number
Authorized official
ASHOK PATEL M.D. (PRESIDENT)
(606) 439-5057
Entity
Organization
Contact information
Practice address
3480 SMITHBORO ROAD, SASSAFRAS, KY 41759
(606) 439-2662
Mailing address
PO BOX 171, REDFOX, KY 41847-0171
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
PENDING
KY
Enumeration date
09/05/2013
Last updated
09/05/2013
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