Organization
PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC
Active
Other names
Primary Care Centers of Eastern Kentucky-Hyden
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY K MARTIN (OWNER/CEO)
(606) 439-1300
Entity
Organization
Contact information
Practice address
21992 MAIN ST, HYDEN, KY 41749-8567
(606) 672-5200
Mailing address
PO BOX 1988, HAZARD, KY 41702-1988
(606) 439-1300
(606) 439-1400
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100028160
—
KY
Enumeration date
01/25/2007
Last updated
06/21/2021
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