Provider Demographics
NPI:1679395040
Name:REGIONAL HEALTH CARE AFFILIATES INC
Entity type:Organization
Organization Name:REGIONAL HEALTH CARE AFFILIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-667-2183
Mailing Address - Street 1:140 VETERANS MEMORIAL AVE
Mailing Address - Street 2:
Mailing Address - City:CLAY
Mailing Address - State:KY
Mailing Address - Zip Code:42404
Mailing Address - Country:US
Mailing Address - Phone:270-664-2526
Mailing Address - Fax:270-664-6082
Practice Address - Street 1:140 VETERANS MEMORIAL AVE
Practice Address - Street 2:
Practice Address - City:CLAY
Practice Address - State:KY
Practice Address - Zip Code:42404
Practice Address - Country:US
Practice Address - Phone:270-664-2526
Practice Address - Fax:270-664-6082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)