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General NPI Number Information
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NPI Number | 1194765792
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Entity Type | Organization
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Legal Business Name | ST. CLAIRE MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 201 LYONS AVE
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City | MOREHEAD
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State | KY
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Zip | 40351-1143
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Country | US
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Telephone | 606-784-6086
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Fax | 606-783-6906
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Provider Business Mailing Address
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Address Line | 201 LYONS AVE
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City | MOREHEAD
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State | KY
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Zip | 40351-1143
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Country | US
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Telephone | 606-783-6308
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Fax | 606-783-6906
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. DONALD H LLOYD II
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Credential |
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Telephone | 606-783-6502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 400008
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License Number State | KY
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