Organization
EAST KENTUCKY HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN ADAMS (BILLING CLERK)
(606) 785-3164
Entity
Organization
Contact information
Practice address
566 HWY 899, HINDMAN, KY 41822
(606) 785-3164
(606) 785-0107
Mailing address
PO BOX 849, HINDMAN, KY 41822-0849
(606) 785-3164
(606) 785-0107
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
16312
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000287060
BLUE CROSS PIN NUMBER
KY
01
—
0751
MEDICARE GROUP NUMBER
KY
01
—
080188437
MEDICARE RAILROAD NUMBER
KY
05
—
64163124
—
KY
05
—
65924300
—
KY
Enumeration date
03/10/2008
Last updated
05/23/2008
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