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WOLFE COUNTY CLINICS NPI 1336375294


NPI Information

NPI: 1336375294
Provider Name: WOLFE COUNTY CLINICS

Doing Business As: JACKSON CARDIOLOGY AND PRIMARY CARE

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1389 HIGHWAY 15 N
JACKSON, KY
ZIP 41339
Phone: (606) 668-3925
Get Directions

WOLFE COUNTY CLINICS is a cardiovascular disease internal medicine in Jackson, KY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. WOLFE COUNTY CLINICS NPI is 1336375294. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Jackson Cardiology And Primary Care.

The provider's business location address is:

1389 HIGHWAY 15 N
JACKSON, KY
ZIP 41339-015
Phone: (606) 668-3925

The provider's authorized official is Syed Atif Aftab Ali .
The authorized official title is Practice Manager and has the following contact phone number (606) 668-6932.

The enumeration date for this NPI number is 6/5/2009 and was last updated on 10/7/2009.


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
1207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
165943359MEDICAIDKENTUCKY
29496OTHERMEDICARE GROUP

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

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