Organization
CASA SAN PIO CLINICS OF APPALACHIA, LLC
Active
Organization
CASA SAN PIO CLINICS OF APPALACHIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAUFIK KASSIS MD (AUTHORIZED OFFICIAL)
(606) 318-3500
Entity
Organization
Contact information
Practice address
638 E COLLEGE AVE, STE B, STANTON, KY 40380-2363
(606) 318-3500
(606) 318-3503
Mailing address
638 E COLLEGE AVE, STE B, STANTON, KY 40380-2363
(606) 318-3500
(606) 318-3503
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100221330
—
KY
Enumeration date
02/09/2012
Last updated
07/21/2022
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