Organization Name: | HEALTH SERVICE CORPORATION |
NPI Number: | 1497181267 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MANSOOR MAHMOOD (OWNER) |
Mailing Address: | 306 Hospital Dr Suite 101 South Williamson |
State: | KY US |
Postal Code: | 415034095 |
Phone Number: | 6062371000 |
Fax Number: | 6062371001 |
NPI Enumeration Date: | 09/24/2013 |
NPI Last Update Date: | 09/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 31447 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |