institution
Eastern Kentucky University
Federally Qualified Health Center (FQHC) in Lexington, Kentucky
NPI 1164460051

Eastern Kentucky University is a Federally Qualified Health Center (FQHC) based in Lexington, KY and is specialized in Federally Qualified Health Center (FQHC). Eastern Kentucky University practices in Lexington, KY. The NPI Number for Eastern Kentucky University is 1164460051 and holds a License No. 700160 (Kentucky).

The current practice location address for Eastern Kentucky University is 1306 Versailles Rd, Lexington, KY and can be reached out via phone at 859-259-0717 and via fax at 859-254-7874.

Location: 1306 Versailles Rd, Lexington, KY, 40504-1117
institution
Provider Profile Details
NPI Number
1164460051
Provider Name
Eastern Kentucky University
Credential
Provider Entity Type
Organization
Address
1306 Versailles Rd, Lexington, KY, 40504-1117
Phone Number
859-259-0717
Fax Number
859-254-7874
Provider Enumeration Date
06/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000537566 01 KY ANTHEM
31001118 05 KY
9968164 01 KY AETNA
institution
Provider Business Practice Location Address Details
Address
1306 Versailles Rd
City
State
Zip
40504-1117
Phone Number
859-259-0717
Fax Number
859-254-7874
person
Provider Business Mailing Address Details
Address
1306 Versailles Rd
City
State
Zip
40504-1117
Phone Number
859-259-0717
Fax Number
859-254-7874
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
700160 (Kentucky)
Definition
Definition to come...
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