COMMONWEALTH OF KENTUCKY NPI 1265851760

NPI Information

NPI: 1265851760
Provider Name: COMMONWEALTH OF KENTUCKY

Doing Business As: OUTWOOD SPECIALTY CLINIC

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
23524 DAWSON SPRINGS RD
DAWSON SPRINGS, KY
ZIP 42408
Phone: (270) 797-3771
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COMMONWEALTH OF KENTUCKY is a multi-specialty clinic center in Dawson Springs, KY. COMMONWEALTH OF KENTUCKY NPI is 1265851760. The provider is registered as an organization entity type.
The provider Is Doing Business As Outwood Specialty Clinic.

The provider's business location address is:

23524 DAWSON SPRINGS RD
DAWSON SPRINGS, KY
ZIP 42408-205
Phone: (270) 797-3771
Fax: (270) 797-3592

The provider's authorized official is Wendy Morris .
The authorized official title is Deputy Commissioner and has the following contact phone number (502) 564-4527.

The enumeration date for this NPI number is 4/11/2014 and was last updated on 4/11/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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