| NPI | 1649370719 |
|---|---|
| Doing Business As | TRI-STATE FAMILY HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | LARRY B ROARK Nurse Practitioner/Owner 606-242-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-01-31 |