Proctorville Health Care, Llc in Proctorville - Clinic/center
Proctorville Health Care, Llc - NPI 1659464790
Proctorville Health Care, Llc is a Clinic/center in Proctorville, Ohio. Proctorville Health Care, Llc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Proctorville Health Care, Llc is 1659464790. The last update date is 2020-08-22.
Proctorville Health Care, Llc's current location address is 501 State St, Proctorville, Ohio. You can contact this provider via phone number 7408862674 and fax number 7408862676. The mailing address for Proctorville Health Care, Llc is 501 State St, Proctorville, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Proctorville Health Care, Llc |
|---|---|
| Address | 501 State St, Proctorville, Ohio |
| Phone Number | 7408862674 |
| Fax Number | 7408862676 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wippel Kayvon Anita |
| Credentials | FNP-C |
| Telephone Number | 7408862674 |
NPI Number Detail
| NPI Number | 1659464790 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 501 State St |
|---|---|
| City | Proctorville |
| State | Ohio (OH) |
| Post Code | 456693015 |
| Phone Number | 7408862674 |
| Fax Number | 7408862676 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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What is the unique 10-digit identification code assigned to Proctorville Health Care, Llc by the Centers for Medicare & Medicaid Services?
The Proctorville Health Care, Llc has been issued the NPI (National Provider Identifier) 1659464790, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Proctorville Health Care, Llc?
The Proctorville Health Care, Llc is situated at 501 State St, in the city of Proctorville, state of OH, with the zip code 456693015.
What is Proctorville Health Care, Llc's area of expertise and its corresponding taxonomy classification?
The Proctorville Health Care, Llc's field of specialization is Clinic/center, and it falls under the taxonomy code 261Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1659464790 to Proctorville Health Care, Llc?
The Centers for Medicare & Medicaid Services originally issued the 1659464790 to Proctorville Health Care, Llc on 2006-10-02.
As of what date were the Proctorville Health Care, Llc's details last updated?
The information pertaining to the Proctorville Health Care, Llc, including its address, specialty, and other details, was most recently updated on 2020-08-22.