MARTIN COUNTY RURAL HEALTH CLINIC PLLC NPI 1316363112

NPI Information

NPI: 1316363112
Provider Name: MARTIN COUNTY RURAL HEALTH CLINIC PLLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 18D0874040

Address:
64 KIRK PLZ
INEZ, KY
ZIP 41224
Phone: (606) 298-2520
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MARTIN COUNTY RURAL HEALTH CLINIC PLLC is a rural health clinic center in Inez, KY. MARTIN COUNTY RURAL HEALTH CLINIC PLLC NPI is 1316363112. The provider is registered as an organization entity type.

The provider's business location address is:

64 KIRK PLZ
INEZ, KY
ZIP 41224-501
Phone: (606) 298-2520
Fax: (606) 298-2522

The provider's authorized official is Antoin Hana .
The authorized official title is Owner and has the following contact phone number (606) 886-1173.

The CLIA number assigned to this NPI record is 18D0874040 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/17/2014 and was last updated on 11/2/2017.

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	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	64126055	MEDICAID	KENTUCKY

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: 5/5/2024

NPI Synchronization or Removal

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