Organization Name: | PIKEVILLE MEDICAL CENTER INC |
NPI Number: | 1174571756 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANNY HARRIS (CFO) |
Mailing Address: | 1500 Main Street Inez |
State: | KY US |
Postal Code: | 41224 |
Phone Number: | 6062183500 |
Fax Number: | 6062184560 |
NPI Enumeration Date: | 05/05/2006 |
NPI Last Update Date: | 03/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471C3402X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Radiography |
Taxonomy Definition: |