East Ky Health Service Center

LBN: East Ky Health Service Center
East Ky Health Service Center is an health care organization with primary practice located at 566 Highway 899 , Hindman KY 41822-0849. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is the primary health care specialty. East Ky Health Service Center can be contacted via phone (606) 785-3164, or through Bailey, Benny Ray via phone (606) 785-3164.

Contact Information

Primary practice address
566 Highway 899 Hindman KY 41822-0849
Phone: (606) 785-3164
Fax: (606) 785-0107
Website:
Map and Directions
Authorized official contact:
Name: Bailey, Benny Ray PH.D.
Phone: (606) 785-3164

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 6629 Kentucky
Ambulatory Health Care Facilities / Primary Care 261QP2300X 700002 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 3008325 Kentucky

Profile Details

NPI number 1376648139
LBN Legal business name East Ky Health Service Center
DBA Doing business as
Authorized official Bailey, Benny Ray PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2006
Last updated Jun 10th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376648139 NPPES
Kentucky MEDICAID 65924300

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