Organization · Type 2 NPI

Primary Care Centers of Eastern Kentucky, LLC

Rural Health Clinic/Center · Scuddy, KY

NPI number 1184676314 Active

Practice location

10616 S Ky Hwy 15, Suite A
Scuddy, KY 41760-9033

Call (606) 476-2274 Map

Fax (606) 476-2304

Mailing address

PO Box 1988, Suite B
Hazard, KY 41702-1988

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

NPI record

NPI: 1184676314
Entity type: Organization (Type 2)
Issued: May 16, 2006
Last updated: May 26, 2023
Status: Active

Other names

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Primary Care Centers of Eastern Kentucky-Vicco · doing business as
Primary Care Centers of Eastern Kentucky-Vicco · doing business as

Authorized official

Mr. Barry K Martin
CEO
(606) 439-1300

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1184676314

Primary Care Centers of Eastern Kentucky, LLC's National Provider Identifier is 1184676314, issued on May 16, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Scuddy, KY. The record was last updated on May 26, 2023.