Edmonton Primary Care Nursing Group in Edmonton - Family
Edmonton Primary Care Nursing Group - NPI 1629240759
Edmonton Primary Care Nursing Group is a Family in Edmonton, Kentucky. Edmonton Primary Care Nursing Group practices all healthcare services and medical treatments related to Family. The NPI Number for Edmonton Primary Care Nursing Group is 1629240759. The last update date is 2008-03-28.
Edmonton Primary Care Nursing Group's current location address is 903 West Stockton Street, Edmonton, Kentucky. You can contact this provider via phone number 2704325782 and fax number 2704320001. The mailing address for Edmonton Primary Care Nursing Group is 903 West Stockton Street, Edmonton, Kentucky. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Edmonton Primary Care Nursing Group |
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Address | 903 West Stockton Street, Edmonton, Kentucky |
Phone Number | 2704325782 |
Fax Number | 2704320001 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO, ADMIN |
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Authorized Official Name | Tungate A Rex |
Telephone Number | 2703844753 |
NPI Number Detail
NPI Number | 1629240759 |
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Provider Enumeration Date | 2008-03-28 |
Last Updated Date | 2008-03-28 |
Provider Mailing Address Detail
Address | 903 West Stockton Street |
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City | Edmonton |
State | Kentucky (KY) |
Post Code | 42129 |
Phone Number | 2704325782 |
Fax Number | 2704320001 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | 1854P |
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 |
---|---|---|---|
7890217800 | KY | -- |
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What is the unique 10-digit identifier code issued to Edmonton Primary Care Nursing Group by the Centers for Medicare & Medicaid Services?
The Edmonton Primary Care Nursing Group has been assigned the NPI (National Provider Identifier) 1629240759 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Edmonton Primary Care Nursing Group's facilities are situated?
The facilities of Edmonton Primary Care Nursing Group are physically located at the following address: 903 West Stockton Street, Edmonton, KY, 42129.
What is the Edmonton Primary Care Nursing Group's area of specialization and corresponding taxonomy classification?
The Edmonton Primary Care Nursing Group's specialty field is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their specialties.
On what date did the Edmonton Primary Care Nursing Group receive the assignment of its 1629240759 from the Centers for Medicare & Medicaid Services?
The Edmonton Primary Care Nursing Group was issued its 1629240759 by the Centers for Medicare & Medicaid Services on 2008-03-28.
When was the information related to Edmonton Primary Care Nursing Group most recently updated or refreshed?
The details pertaining to the Edmonton Primary Care Nursing Group, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-03-28.
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