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
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