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General NPI Number Information
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NPI Number | 1023011921
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Entity Type | Organization
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Legal Business Name | PIKEVILLE MEDICAL CENTER INC
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 03/14/2016
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Provider Practice Location Address
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Address Line | 1370 S MAYO TRL
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City | PIKEVILLE
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State | KY
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Zip | 41501-2332
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Country | US
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Telephone | 606-218-4570
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Fax | 606-218-4587
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Provider Business Mailing Address
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Address Line | PO BOX 2917
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City | PIKEVILLE
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State | KY
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Zip | 41502-2917
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Country | US
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Telephone | 606-218-4570
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Fax | 606-218-4587
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Authorized Official
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Title or Position | CFO
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Name | MICHELLE HAGY
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Credential |
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Telephone | 606-218-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 150185
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License Number State | KY
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