EASTERN PULASKI RURAL HEALTH CLINICPLLC NPI 1841630654

NPI Information

EASTERN PULASKI RURAL HEALTH CLINIC,PLLC is a rural health clinic center in Somerset, KY. EASTERN PULASKI RURAL HEALTH CLINIC,PLLC NPI is 1841630654. The provider is registered as an organization entity type.

The provider's business location address is:

31 MARK SHOPVILLE RD
SOMERSET, KY
ZIP 42503
Phone: (606) 636-4214
Fax: (606) 636-4215

The provider's authorized official is Diana Lynn Williamson .
The authorized official title is Aprn and has the following contact phone number (606) 485-4553.

The CLIA number assigned to this NPI record is 18D2050660 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/26/2013 and was last updated on 3/3/2015.

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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