GRAYSON HEALTH PARK NPI 1992258305

NPI Information

NPI: 1992258305
Provider Name: GRAYSON HEALTH PARK

Other Name: TRISTATE PRIMARY CARE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2020 W HEARTHSTONE CT
ASHLAND, KY
ZIP 41102
Phone: (606) 923-2819
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GRAYSON HEALTH PARK is a primary care clinic center in Ashland, KY. GRAYSON HEALTH PARK NPI is 1992258305. The provider is registered as an organization entity type.
The provider Other Name Is Tristate Primary Care.

The provider's business location address is:

2020 W HEARTHSTONE CT
ASHLAND, KY
ZIP 41102-445
Phone: (606) 923-2819

The provider's authorized official is Sanjiv Gupta .
The authorized official title is Physician and has the following contact phone number (606) 474-2200.

The enumeration date for this NPI number is 8/2/2016 and was last updated on 8/2/2016.

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	TC494	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

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