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NPI Code Detail

MEDICARE: MICHAEL HALL CHW

MEDICARE: MICHAEL HALL CHW
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
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1760331235
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL HALL CHW
Provider Business Mailing Address
First Line : 104 S FRONT AVE
Second Line :
City : PRESTONSBURG
State : KY
Zip : 41653-1614
Country : US
Telephone Number : 606-886-8572
Fax Number : 606-886-4433
Provider Business Practice Location Address
First Line : 104 S FRONT AVE
Second Line :
City : PRESTONSBURG
State : KY
Zip : 41653-1614
Country : US
Telephone Number : 606-886-8572
Fax Number : 606-886-4433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2026
Last Update Date : 01/27/2026

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