Organization Name: | MOUNT STERLING FAMILY CARE CENTER PLLC |
NPI Number: | 1366756736 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BHAWAN N YAMRAJ (PRESIDENT) |
Mailing Address: | 1107 Indian Mound Dr Ste D Mount Sterling |
State: | KY US |
Postal Code: | 403531300 |
Phone Number: | 2708717735 |
Fax Number: | |
NPI Enumeration Date: | 07/28/2010 |
NPI Last Update Date: | 09/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 38038 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |