Organization
HAZARD ARH REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY HAYNES (PRESIDENT)
(606) 439-1331
Entity
Organization
Contact information
Practice address
100 MEDICAL CENTER DR, HAZARD, KY 41701-9421
(606) 439-1331
(606) 439-6629
Mailing address
100 MEDICAL CENTER DR, HAZARD, KY 41701-9421
(606) 439-1331
(606) 439-6629
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100365
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45018900
—
KY
Enumeration date
03/13/2007
Last updated
08/22/2020
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