MAG MEDICAL NPI 1063766012

NPI Information

  • NPI: 1063766012
  • Provider Name: MAG MEDICAL
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 21154 HWY 421
    HYDEN, KY
    ZIP 41749
  • Phone: (606) 672-1144

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NPI Details

MAG MEDICAL is a family nurse practitioner in Hyden, KY. MAG MEDICAL NPI is 1063766012. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21154 HWY 421
HYDEN, KY
ZIP 41749
Phone: (606) 672-1144
Fax: (606) 672-1145

The provider's authorized official is Paula Fields .
The authorized official title is Co-owner and has the following contact phone number (606) 672-1144.

The enumeration date for this NPI number is 10/30/2012 and was last updated on 10/30/2012.

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
1363LF0000XNurse PractitionerFamily3006479KENTUCKYYes

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: 11/21/2025

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