Eastern Ky Tender Care Pediatrics, Llc in Prestonsburg - Rural Health

Eastern Ky Tender Care Pediatrics, Llc - NPI 1831190115

Eastern Ky Tender Care Pediatrics, Llc is a Rural Health in Prestonsburg, Kentucky. Eastern Ky Tender Care Pediatrics, Llc practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Eastern Ky Tender Care Pediatrics, Llc is 1831190115. The last update date is 2020-08-22.

Eastern Ky Tender Care Pediatrics, Llc's current location address is Po Box 697, Prestonsburg, Kentucky. You can contact this provider via phone number 6068867517 and fax number 6068867524. The mailing address for Eastern Ky Tender Care Pediatrics, Llc is Po Box 697, Prestonsburg, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Organization Eastern Ky Tender Care Pediatrics, Llc
Address Po Box 697, Prestonsburg, Kentucky
Phone Number 6068867517
Fax Number 6068867524
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Hana Antoin
Credentials M.D.
Telephone Number 6068867517

NPI Number Detail

NPI Number 1831190115
Provider Enumeration Date 2005-08-09
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address Po Box 697
City Prestonsburg
State Kentucky (KY)
Post Code 416530697
Phone Number 6068867517
Fax Number 6068867524

Provider's Primary Taxonomy Detail

Speciality Rural Health
Taxonomy 261Qr1300X
Definition:
Provides primary care and preventive health services in rural medically underserved areas.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
260816 KY ANTHEM BCBS

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FAQs about Eastern Ky Tender Care Pediatrics, Llc

What is the unique 10-digit identifier code issued to Eastern Ky Tender Care Pediatrics, Llc by the Centers for Medicare & Medicaid Services?

The Eastern Ky Tender Care Pediatrics, Llc has been assigned the NPI (National Provider Identifier) 1831190115 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Eastern Ky Tender Care Pediatrics, Llc's physical address?

The Eastern Ky Tender Care Pediatrics, Llc is physically located at Po Box 697, in the city of Prestonsburg, KY, with the postal code 416530697.

What is Eastern Ky Tender Care Pediatrics, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Eastern Ky Tender Care Pediatrics, Llc is Rural Health, and the taxonomy code that classifies this field of practice is 261Qr1300X.

On what date was the 1831190115 assigned to Eastern Ky Tender Care Pediatrics, Llc?

The Eastern Ky Tender Care Pediatrics, Llc was issued its 1831190115 on 2005-08-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Eastern Ky Tender Care Pediatrics, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Eastern Ky Tender Care Pediatrics, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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