Organization
FAMILY MEDICAL CENTER OF HART CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES W MIDDLETON JR. MD (PRESIDENT)
(270) 524-7231
Entity
Organization
Contact information
Practice address
117 W SOUTH ST, MUNFORDVILLE, KY 42765
(270) 524-7231
(270) 524-7415
Mailing address
PO BOX 579, MUNFORDVILLE, KY 42765
(270) 524-7231
(270) 524-7415
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
900144
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000057825
ANTHEM GROUP
KY
01
—
1064168
PASSPORT MEDICAID MGD CAR
KY
05
—
35001346
—
KY
01
—
4674
OLD ANTHEM GROUP
KY
05
—
7100157220
—
KY
01
—
CF7880
RAILROAD MEDICARE UNITED
KY
01
—
K007193
CHAMPUS TRICARE GROUP
KY
Enumeration date
04/20/2006
Last updated
01/29/2021
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