Organization Name: | MARTIN COUNTY RURAL HEALTH CLINIC PLLC |
NPI Number: | 1316363112 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTOIN HANA (OWNER) |
Mailing Address: | 428 E Main St Inez |
State: | KY US |
Postal Code: | 412248931 |
Phone Number: | 6068861173 |
Fax Number: | 6068862193 |
NPI Enumeration Date: | 03/17/2014 |
NPI Last Update Date: | 04/22/2014 |
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: |