Organization · Type 2 NPI
Family Practice Clinic of Booneville, Inc.
Rural Health Clinic/Center · Booneville, KY
NPI number
1326152109
Active
Practice location
200 Mulberry St, Suite A
Booneville, KY 41314-7505
Fax (606) 593-6087
Mailing address
PO Box 737, 200 Mulberry Street, Suite A
Booneville, KY 41314-0737
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
Another provider at this address
About NPI 1326152109
Family Practice Clinic of Booneville, Inc.'s National Provider Identifier is 1326152109, issued on Aug 18, 2006. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Booneville, KY. The record was last updated on Dec 22, 2015.