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NPI Code Detail

MEDICARE: ADAIR COUNTY HOSPITAL DISTRICT

MEDICARE: ADAIR COUNTY HOSPITAL DISTRICT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VG0400XGynecology Physician29482KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
129482OTHERKY29482

General Provider Information

NPI Number : 1043638620
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADAIR COUNTY HOSPITAL DISTRICT
Provider Business Mailing Address
First Line : 902 WESTLAKE DR STE 107
Second Line :
City : COLUMBIA
State : KY
Zip : 42728-1149
Country : US
Telephone Number : 270-384-9006
Fax Number : 270-384-9161
Provider Business Practice Location Address
First Line : 902 WESTLAKE DR STE 107
Second Line :
City : COLUMBIA
State : KY
Zip : 42728-1149
Country : US
Telephone Number : 270-384-9006
Fax Number : 270-384-9161
Authorized Official
Title or Position : CEO
Name : MR. NEAL M. GOLD
Credential :
Telephone Number : 270-384-4753
Provider Enumeration Date : 04/01/2014
Last Update Date : 04/01/2014

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1427549559 — PATRICIA L DOOLIN APRN, FNP-C
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Directions to “ADAIR COUNTY HOSPITAL DISTRICT ” Practice Location

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