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General NPI Number Information
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NPI Number | 1891599502
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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 | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 3905 MOORE AVE
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City | CHEYENNE
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State | WY
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Zip | 82001-1262
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Country | US
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Telephone | 606-430-3500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 432
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City | PIKEVILLE
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State | KY
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Zip | 41502-0432
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Country | US
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Telephone | 606-430-3500
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Fax | 606-432-5422
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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 | 606-430-3519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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