NPI Code Details Logo

NPI 1104635663

NPI 1104635663 : GILBERT BARBEE MOORE & MCILVOY, PSC : CAVE CITY, KY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1104635663
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    GILBERT BARBEE MOORE & MCILVOY, PSC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    12/30/2024
-----------------------------------------------------
    Last Update Date     |    01/02/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    400 N DIXIE HWY 
-----------------------------------------------------
    City                 |    CAVE CITY
-----------------------------------------------------
    State                |    KY
-----------------------------------------------------
    Zip                  |    42127-9546
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    270-773-2600
-----------------------------------------------------
    Fax                  |    270-361-5101
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 90007 
-----------------------------------------------------
    City                 |    BOWLING GREEN
-----------------------------------------------------
    State                |    KY
-----------------------------------------------------
    Zip                  |    42102-9007
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    270-780-2497
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CFO
-----------------------------------------------------
    Name                 |     STEVEN  SINCLAIR 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    270-781-5111
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QR1300X
-----------------------------------------------------
    Taxonomy Name        |    Rural Health Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.