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Organization

PINEVILLE MEDICAL CENTER, LLC

Active
Other names
PCH Medical Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN COUCH (CONTROLLER)
(606) 337-3051
Entity
Organization

Contact information

Practice address
850 RIVERVIEW AVE, PINEVILLE, KY 40977-1452
(606) 337-3051
(606) 337-2871
Mailing address
850 RIVERVIEW AVE, PINEVILLE, KY 40977-1452
(606) 337-3051
(606) 337-2871

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
363LF0000X
Family Nurse Practitioner
363LW0102X
Women's Health Nurse Practitioner

Other

Enumeration date
05/10/2018
Last updated
05/10/2018
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