FRONTIER MEDICAL ASSOCIATES OF PRESTONSBURG INC NPI 1447840798

NPI Information

NPI: 1447840798
Provider Name: FRONTIER MEDICAL ASSOCIATES OF PRESTONSBURG INC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 18D2210599

Address:
400 UNIVERSITY DR STE 211A
PRESTONSBURG, KY
ZIP 41653
Phone: (606) 886-6622
Get Directions

FRONTIER MEDICAL ASSOCIATES OF PRESTONSBURG INC is a rural health clinic center in Prestonsburg, KY. FRONTIER MEDICAL ASSOCIATES OF PRESTONSBURG INC NPI is 1447840798. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

400 UNIVERSITY DR STE 211A
PRESTONSBURG, KY
ZIP 41653-080
Phone: (606) 886-6622
Fax: (606) 886-1173

The provider's authorized official is Antoin Hana .
The authorized official title is Owner and has the following contact phone number (606) 471-2434.

The CLIA number assigned to this NPI record is 18D2210599 - physician office with a certificate type of Certificate of Registration.

The enumeration date for this NPI number is 1/21/2021 and was last updated on 1/7/2022.

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	Primary
1	207R00000X	Internal Medicine		No
2	363A00000X	Physician Assistant		No
3	261QR1300X	Clinic/Center	Rural Health	Yes

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
1	7100739900	MEDICAID	KENTUCKY
2	7100730470	MEDICAID	KENTUCKY
3	7100787260	MEDICAID	KENTUCKY

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: 11/14/2023

NPI Synchronization or Removal

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