| Organization Name: | EASTERN KENTUCKY COMPREHENSIVE CARE, PLLC |
| NPI Number: | 1275869083 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PHILLIP PARKER CRACE (MANAGER) |
| Mailing Address: | 50 Professor Clarke Circle Hindman |
| State: | KY US |
| Postal Code: | 418220000 |
| Phone Number: | 6068868240 |
| Fax Number: | 6068868243 |
| NPI Enumeration Date: | 10/29/2009 |
| NPI Last Update Date: | 09/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |