| NPI | 1033112362 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2005-05-31 |
| Last Updated | 2020-08-22 |
| Authorized Official | Robert Carter President Phone: 6065280283 |
| Mailing Address | Po Box 1125 Corbin, KY 40702-1125 United States Phone: (606) 528-0283 | Fax: (606) 528-8422 📍 View Map |
| Primary Practice Address | 207 Main St Crab Orchard, KY 40419-9697 United States Phone: (606) 355-7300 | Fax: (606) 355-7310 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | KY | 35-001353 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 363L00000X – Nurse Practitioner | KY | 3630P |
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About NPI 1033112362
Crab Orchard Family Practice Clinic, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1033112362. The primary specialty listed is Nurse Practitioner. The organization is located in Crab Orchard, KY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-05-31. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1033112362?
NPI 1033112362 belongs to Crab Orchard Family Practice Clinic, Inc., a Nurse Practitioner in Crab Orchard, KY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1033112362 active?
The current status of NPI 1033112362 in the NPPES registry is Active. The record was last updated on 2020-08-22.
What specialty is NPI 1033112362?
NPI 1033112362 is classified under the taxonomy Nurse Practitioner. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1033112362?
You can verify NPI 1033112362 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1033112362?
The primary practice address on file for NPI 1033112362 is 207 Main St, Crab Orchard, KY 40419-9697. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1033112362 issued?
NPI 1033112362 was first issued (enumerated) on 2005-05-31. The NPPES record was last updated on 2020-08-22.
Practice Location Map
Crab Orchard Family Practice Clinic, Inc. is located at 207 Main St, Crab Orchard, KY. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Crab Orchard Family Practice Clinic, Inc.. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1033112362. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Nurse Practitioner | 3630P | KY |