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NPI Code Detail

MEDICARE: MOUNTAIN AFTER HOURS CLINIC PSC

MEDICARE: MOUNTAIN AFTER HOURS CLINIC PSC
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
1261QR1300XRural Health Clinic/Center900091KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477638880
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOUNTAIN AFTER HOURS CLINIC PSC
Provider Business Mailing Address
First Line : 1908 N MAIN ST
Second Line : SUITE 120
City : HAZARD
State : KY
Zip : 41701-2505
Country : US
Telephone Number : 606-439-2662
Fax Number :
Provider Business Practice Location Address
First Line : 1908 N MAIN ST
Second Line : SUITE 120
City : HAZARD
State : KY
Zip : 41701-2505
Country : US
Telephone Number : 606-439-2662
Fax Number :
Authorized Official
Title or Position : CO-OWNER
Name : DR. ANTHONY T YONTS
Credential : DO
Telephone Number : 606-436-0711
Provider Enumeration Date : 10/25/2006
Last Update Date : 01/10/2023

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Directions to “MOUNTAIN AFTER HOURS CLINIC PSC ” Practice Location

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