Organization
CASEY COUNTY PRIMARY CARE NURSING GROUP
Active
Parent organization
CASEY COUNTY HOSPITAL DISTRICT
Organization subpart
Yes
Provider details
NPI number
Legal business name
CASEY COUNTY HOSPITAL DISTRICT
Authorized official
REX A TUNGATE (CEO, ADMINISTRATOR)
(270) 384-4753
Entity
Organization
Contact information
Practice address
187 WOLFORD AVE, LIBERTY, KY 42539-3278
(606) 787-8348
(606) 787-9717
Mailing address
187 WOLFORD AVE, LIBERTY, KY 42539-3278
(606) 787-8348
(606) 787-9717
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7890229300
—
KY
Enumeration date
03/27/2008
Last updated
03/27/2008
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