Healthcare Provider Details

I. General information

NPI: 1457433435
Provider Name (Legal Business Name): PIKEVILLE MEDICAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 07/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 BYPASS RD
PIKEVILLE KY
41501-1689
US

IV. Provider business mailing address

911 BYPASS RD
PIKEVILLE KY
41501-1689
US

V. Phone/Fax

Practice location:
  • Phone: 606-218-3500
  • Fax: 606-218-4560
Mailing address:
  • Phone: 606-218-3500
  • Fax: 606-218-4560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number100366
License Number StateKY

VIII. Authorized Official

Name: MRS. MICHELLE HAGY
Title or Position: CFO
Credential:
Phone: 606-218-3500