Organization
BARBOURVILLE FAMILY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE WILSON (PRACTICE MANAGER)
(606) 546-9287
Entity
Organization
Contact information
Practice address
215 N ALLISON AVE, BARBOURVILLE, KY 40906-1336
(606) 546-9287
(606) 546-9363
Mailing address
PO BOX 1150, BARBOURVILLE, KY 40906-5150
(606) 546-9287
(606) 546-9363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100157240
—
KY
Enumeration date
12/21/2005
Last updated
09/19/2024
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