Organization
GRAM RESOURCES INC
Active
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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