Provider Demographics
NPI:1053715706
Name:KNOTT COUNTY CENTER FOR FAMILY HEALTH
Entity type:Organization
Organization Name:KNOTT COUNTY CENTER FOR FAMILY HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-575-7223
Mailing Address - Street 1:3470 WEST HIGHWAY 80
Mailing Address - Street 2:
Mailing Address - City:EMMALENA
Mailing Address - State:KY
Mailing Address - Zip Code:41740
Mailing Address - Country:US
Mailing Address - Phone:606-785-9377
Mailing Address - Fax:606-785-9371
Practice Address - Street 1:3470 HIGHWAY 80 W
Practice Address - Street 2:
Practice Address - City:EMMALENA
Practice Address - State:KY
Practice Address - Zip Code:41740-8854
Practice Address - Country:US
Practice Address - Phone:800-575-7223
Practice Address - Fax:606-436-5797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-09
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty