Eddyville Family Medical in Eddyville - Family
Eddyville Family Medical - NPI 1639346844
Eddyville Family Medical is a Family in Eddyville, Kentucky. Eddyville Family Medical practices all healthcare services and medical treatments related to Family. The NPI Number for Eddyville Family Medical is 1639346844. The last update date is 2008-05-19.
Eddyville Family Medical's current location address is 209 W Main St, Eddyville, Kentucky. You can contact this provider via phone number 2703880620 and fax number 2703880604. The mailing address for Eddyville Family Medical is 209 W Main St, Eddyville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eddyville Family Medical |
|---|---|
| Address | 209 W Main St, Eddyville, Kentucky |
| Phone Number | 2703880620 |
| Fax Number | 2703880604 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Glendening R Misha |
| Credentials | ARNP |
| Telephone Number | 2703880620 |
NPI Number Detail
| NPI Number | 1639346844 |
|---|---|
| Provider Enumeration Date | 2008-05-15 |
| Last Updated Date | 2008-05-19 |
Provider Mailing Address Detail
| Address | 209 W Main St |
|---|---|
| City | Eddyville |
| State | Kentucky (KY) |
| Post Code | 420387752 |
| Phone Number | 2703880620 |
| Fax Number | 2703880604 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 1910P |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 78901758 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Eddyville Family Medical by the Centers for Medicare & Medicaid Services?
The Eddyville Family Medical has been assigned the NPI (National Provider Identifier) 1639346844 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Eddyville Family Medical?
The Eddyville Family Medical is situated at 209 W Main St, in the city of Eddyville, state of KY, with the zip code 420387752.
What is Eddyville Family Medical's area of expertise and its corresponding taxonomy classification?
The Eddyville Family Medical's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Eddyville Family Medical receive the assignment of its 1639346844 from the Centers for Medicare & Medicaid Services?
The Eddyville Family Medical was issued its 1639346844 by the Centers for Medicare & Medicaid Services on 2008-05-15.
As of what date was the information pertaining to Eddyville Family Medical, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Eddyville Family Medical, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-05-19.