National Provider Identifier Database

PRIMARY CARE CENTERS OF EASTERN KENTUCKY LLC
Rural Health


Contact Information

PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC
58 WEST HWY 80
HINDMAN, KY41822
Phone: 606-785-1300
Fax: 606-785-1302
Website:
Specialty Taxonomy Code
* Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC

NPI Number 1356395198
Legal business name
LBN
PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC
Authorized official BARRY MARTIN - (CEO)
Entity Organization
Organization subpart No
Enumeration date 05/19/2006
Last updated 11/16/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • KY Medicaid: 35002047

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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