Carrie June Black in Madisonville - Family
Carrie June Black - NPI 1821195447
Carrie June Black is a Family in Madisonville, Kentucky. Carrie June Black practices all healthcare services and medical treatments related to Family. The NPI Number for Carrie June Black is 1821195447. The last update date is 2020-12-08.
Carrie June Black's current location address is 1756 E Center St, Madisonville, Kentucky. You can contact this provider via phone number 2708213300 and fax number 2708212100. The mailing address for Carrie June Black is 1756 E Center St, Madisonville, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carrie June Black |
|---|---|
| Address | 1756 E Center St, Madisonville, Kentucky |
| Phone Number | 2708213300 |
| Fax Number | 2708212100 |
| Sole Proprietor | N |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1821195447 |
|---|---|
| Provider Enumeration Date | 2006-09-17 |
| Last Updated Date | 2020-12-08 |
Provider Mailing Address Detail
| Address | 1756 E Center St |
|---|---|
| City | Madisonville |
| State | Kentucky (KY) |
| Post Code | 424312253 |
| Phone Number | 2708213300 |
| Fax Number | 2708212100 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 3002209 |
|
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 |
|---|---|---|---|
| 2209P | KY | LICENSE | |
| 44303 | BCBS PROVIDER NUMBER | ||
| 78001153 | KY | -- | |
| P00943823 | KY | RAILROAD MEDICARE- WALMART MAD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Carrie June Black by the Centers for Medicare & Medicaid Services?
The Carrie June Black has been issued the NPI (National Provider Identifier) 1821195447, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Carrie June Black's facilities are geographically located?
The facilities of Carrie June Black are physically situated at the following location: 1756 E Center St, Madisonville, KY, 424312253.
What is the Carrie June Black's area of specialization and corresponding taxonomy classification?
The Carrie June Black'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 Carrie June Black receive its 1821195447 assignment from the Centers for Medicare & Medicaid Services?
The Carrie June Black was assigned its 1821195447 by the Centers for Medicare & Medicaid Services on 2006-09-17.
As of what date was the information regarding Carrie June Black, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Carrie June Black, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-12-08.