| NPI | 1689229189 |
|---|---|
| Other Name | EDDYVILLE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DANYEL D CLAY Vice President Revenue Cycle 502-253-4911 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2024-07-22 |