Basic Information
| Provider Information | |||||||||
| NPI: | 1215225453 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALBAREE HEALTH SERVICES, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 280 | ||||||||
| Address2: | |||||||||
| City: | PRESTONSBURG | ||||||||
| State: | KY | ||||||||
| PostalCode: | 416530280 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6063498100 | ||||||||
| FaxNumber: | 6063498450 | ||||||||
| Practice Location | |||||||||
| Address1: | 906 E MOUNTAIN PKWY | ||||||||
| Address2: | |||||||||
| City: | SALYERSVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 414658379 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6063498100 | ||||||||
| FaxNumber: | 6063498150 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/20/2011 | ||||||||
| LastUpdateDate: | 07/20/2011 | ||||||||
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| AuthorizedOfficialLastName: | ALBAREE | ||||||||
| AuthorizedOfficialFirstName: | EYAD | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGING PARTNER | ||||||||
| AuthorizedOfficialTelephone: | 6063498100 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP2300X | 700218 | KY | Y | Ambulatory Health Care Facilities | Clinic/Center | Primary Care |
No ID Information.