Pikeville Medical Center, Inc. | |
911 Bypass Rd Pikeville KY 41501-1689 | |
(606) 218-3500 | |
(606) 218-4562 |
Full Name | Pikeville Medical Center, Inc. |
---|---|
Speciality | Psychologist - Clinical |
Location | 911 Bypass Rd, Pikeville, Kentucky |
Authorized Official Name and Position | Michelle Hagy (CFO) |
Authorized Official Contact | 6062183500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pikeville Medical Center, Inc. Po Box 2917 Pikeville KY 41502-2917 Ph: (606) 218-3500 | Pikeville Medical Center, Inc. 911 Bypass Rd Pikeville KY 41501-1689 Ph: (606) 218-3500 |
NPI Number | 1457488744 |
---|---|
Provider Enumeration Date | 02/27/2007 |
Last Update Date | 05/29/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457488744 | NPI | - | NPPES |
7100032480 | Medicaid | KY | |
65928129 | Medicaid | KY | |
000000056961 | Other | KY | BCBS PHYSICIAN GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
261QS1200X | Clinic/center - Sleep Disorder Diagnostic | 730093 (Kentucky) | Secondary |
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