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CENTRAL CITY CLINIC PHARMACY INC. NPI 1205967395


NPI Information

NPI: 1205967395
Provider Name: CENTRAL CITY CLINIC PHARMACY, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
203 N 2ND ST
CENTRAL CITY, KY
ZIP 42330
Phone: (270) 754-4300
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CENTRAL CITY CLINIC PHARMACY, INC. is a durable medical equipment medical supplies in Central City, KY. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CENTRAL CITY CLINIC PHARMACY, INC. NPI is 1205967395. The provider is registered as an organization entity type.

The provider's business location address is:

203 N 2ND ST
CENTRAL CITY, KY
ZIP 42330-287
Phone: (270) 754-4300
Fax: (270) 754-9881

The provider's authorized official is Elizabeth Ann Gentry .
The authorized official title is Secretary and has the following contact phone number (270) 754-4300.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 7/24/2008.


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
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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
11804031OTHERKENTUCKYNABP
2P00339OTHERKENTUCKYSTORE PERMIT #
30290230001OTHERKENTUCKYMEDICARE
490040890MEDICAIDKENTUCKY

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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