Organization Name: | ST. CLAIRE MEDICAL CENTER, INC |
NPI Number: | 1134180920 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK J NEFF (PRESIDENT/CEO) |
Mailing Address: | 632 Slate Ave Owingsville |
State: | KY US |
Postal Code: | 403602206 |
Phone Number: | 6066746386 |
Fax Number: | 6066743096 |
NPI Enumeration Date: | 03/31/2006 |
NPI Last Update Date: | 01/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 700048 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |