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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