Organization
CASEY COUNTY HOSPITAL DISTRICT
Active
Organization
CASEY COUNTY HOSPITAL DISTRICT
Active
Other names
Casey County Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
REX A. TUNGATE (CEO ADMINSTRATOR)
(270) 403-0732
Entity
Organization
Contact information
Practice address
187 WOLFORD AVE, LIBERTY, KY 42539-3187
(606) 787-6275
(606) 787-8925
Mailing address
187 WOLFORD AVE, LIBERTY, KY 42539-3187
(606) 787-6275
(606) 787-8925
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
900075
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65909897
—
KY
Enumeration date
02/14/2006
Last updated
02/23/2017
Update your record
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