Organization
PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC
Active
Other names
Primary Care Centers of Eastern Kentucky-Hazard
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY MARTIN (CEO)
(606) 439-1300
Entity
Organization
Contact information
Practice address
101 TOWN AND COUNTRY LN, SUITE100, HAZARD, KY 41701-9524
(606) 439-1300
(606) 439-1400
Mailing address
PO BOX 1988, HAZARD, KY 41702
(606) 435-7642
(606) 436-5282
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
900161
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100167330
—
KY
Enumeration date
02/22/2006
Last updated
09/19/2016
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