Organization
M S COMMUNITY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS R POWELL (CEO)
(270) 377-1600
Entity
Organization
Contact information
Practice address
1010 MEDICAL CENTER DR, POWDERLY, KY 42367-5463
(270) 377-1600
(270) 338-0229
Mailing address
1010 MEDICAL CENTER DR, POWDERLY, KY 42367-5463
(270) 377-1600
(270) 338-0229
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78900842
—
KY
Enumeration date
01/22/2007
Last updated
08/22/2020
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