| Ms Community Health Llc | |
|
1010 Medical Center Drive Powderly KY 42367 | |
| (270) 377-1600 | |
| (270) 388-0229 |
| Full Name | Ms Community Health Llc |
|---|---|
| Speciality | General Practice |
| Location | 1010 Medical Center Drive, Powderly, Kentucky |
| Authorized Official Name and Position | Thomas Randall Powell (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2703771650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Community Health Llc 1010 Medical Center Drive Powderly KY 42367 Ph: (270) 377-1600 | Ms Community Health Llc 1010 Medical Center Drive Powderly KY 42367 Ph: (270) 377-1600 |
| NPI Number | 1023019130 |
|---|---|
| Provider Enumeration Date | 08/10/2005 |
| Last Update Date | 12/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023019130 | NPI | - | NPPES |
| 35002054 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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