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Ccmh Corporation
Family Nurse Practitioner in Warsaw, Kentucky
NPI 1598798407

Ccmh Corporation is a Family Nurse Practitioner based in Carrollton, KY and is specialized in Family. Ccmh Corporation practices in Warsaw, KY. The NPI Number for Ccmh Corporation is 1598798407 and holds a License No. 18145 (Kentucky).

The current practice location address for Ccmh Corporation is 202 Franklin Street, Warsaw, KY and can be reached out via phone at 859-567-2754 and via fax at 859-567-5108.

Location: 202 Franklin Street, Warsaw, KY, 41008-1435
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598798407
Provider Name
Ccmh Corporation
Credential
Provider Entity Type
Organization
Address
202 Franklin Street, Warsaw, KY, 41008-1435
Phone Number
859-567-2754
Fax Number
859-567-5108
Provider Enumeration Date
07/07/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100156490 05 KY
50030472 01 KY PASSPORT
000000697014 01 KY ANTHEM
7100145920 05 KY
institution
Provider Business Practice Location Address Details
Address
202 Franklin Street
City
Warsaw
State
Kentucky
Zip
41095
Phone Number
859-567-2754
Fax Number
859-567-5108
person
Provider Business Mailing Address Details
Address
202 Franklin Street
City
Warsaw
State
Kentucky
Zip
41095
Phone Number
859-567-2754
Fax Number
859-567-5108
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
23459 (Kentucky)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
01031469 (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
18145 (Kentucky)
Definition
Definition to come...
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