SUPPORTIVE MED NPI 1598200602

NPI Information

NPI: 1598200602
Provider Name: SUPPORTIVE MED
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 18D2275376

Address:
1224 HOODS CREEK PIKE
ASHLAND, KY
ZIP 41101
Phone: (606) 324-0334
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SUPPORTIVE MED is a primary care clinic center in Ashland, KY. SUPPORTIVE MED NPI is 1598200602. The provider is registered as an organization entity type.

The provider's business location address is:

1224 HOODS CREEK PIKE
ASHLAND, KY
ZIP 41101-220
Phone: (606) 324-0334
Fax: (606) 324-0447

The provider's authorized official is Jeri Jones Craft .
The authorized official title is Owner/director and has the following contact phone number (606) 324-0334.

The CLIA number assigned to this NPI record is 18D2275376 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/28/2016 and was last updated on 2/23/2017.

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
1	261QP2300X	Clinic/Center	Primary Care	010417 1	KENTUCKY	Yes

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: 4/28/2024

NPI Synchronization or Removal

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