BIG SANDY HEALTH CARE INC NPI 1588606370

NPI Information

BIG SANDY HEALTH CARE INC is a federally qualified health center (fqhc) clinic center in Auxier, KY. BIG SANDY HEALTH CARE INC NPI is 1588606370. The provider is registered as an organization entity type.
The provider Is Doing Business As Physicians For Women.

The provider's business location address is:

23 WILLOW DR
AUXIER, KY
ZIP 41602-259
Phone: (606) 886-8997
Fax: (606) 886-1021

The provider's authorized official is Ancil W Lewis .
The authorized official title is Ceo and has the following contact phone number (606) 886-8546.

The CLIA number assigned to this NPI record is 18D0985218 - federally qualified health center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 8/17/2010.

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:

Other Identifiers

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

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