Mud Creek Clinic Pharmacy

LBN: Big Sandy Health Care Inc
Mud Creek Clinic Pharmacy is an health care organization with primary practice located at 7629 Ky Route 979 Mud Creek Clinic Pharmacy, Grethel KY 41631-6304. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Big Sandy Health Care Inc can be contacted via phone (606) 587-2200, or through Shofner, Boyce Dean via phone (606) 886-8546.

Contact Information

Primary practice address
7629 Ky Route 979 Mud Creek Clinic Pharmacy Grethel KY 41631-6304
Phone: (606) 587-2200
Fax: (606) 587-2203
Website:
Map and Directions
Authorized official contact:
Name: Shofner, Boyce Dean
Phone: (606) 886-8546

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X P01238 Kentucky

Profile Details

NPI number 1942246970
LBN Legal business name Big Sandy Health Care Inc
DBA Doing business as Mud Creek Clinic Pharmacy
Authorized official Shofner, Boyce Dean
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Mar 9th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942246970 NPPES
Kentucky MEDICAID 54019492

Popular Providers