USP MCCREARY NPI 1720324023

NPI Information

USP MCCREARY is a prison health clinic center in Pine Knot, KY. USP MCCREARY NPI is 1720324023. The provider is registered as an organization entity type.

The provider's business location address is:

330 FEDERAL WAY
PINE KNOT, KY
ZIP 42635-000
Phone: (606) 354-7160
Fax: (606) 354-7163

The provider's authorized official is Beverly Barron .
The authorized official title is Acting Health Services Administrato and has the following contact phone number (606) 354-7160.

The enumeration date for this NPI number is 12/14/2012 and was last updated on 12/14/2012.

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:

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