Organization Name: | PIONEER HEALTH GROUP LLC |
NPI Number: | 1235585126 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIM ROBINSON (CEO) |
Mailing Address: | 125 S Main Cross St Louisa |
State: | KY US |
Postal Code: | 412301065 |
Phone Number: | 6066380938 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2016 |
NPI Last Update Date: | 05/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0401X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A family medicine physician who specializes in the diagnosis and treatment of addictions. |