Basic Information
| Provider Information | |||||||||
| NPI: | 1518293711 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CONSOLIDATED HEALTH SYSTEMS | ||||||||
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| OtherOrganizationName: | HIGHLANDS ORTHOPAEDICS | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 787 | ||||||||
| Address2: | |||||||||
| City: | PRESTONSBURG | ||||||||
| State: | KY | ||||||||
| PostalCode: | 416530787 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6068867747 | ||||||||
| FaxNumber: | 6068861316 | ||||||||
| Practice Location | |||||||||
| Address1: | 5000 KY ROUTE 321 | ||||||||
| Address2: | SUITE 2129 | ||||||||
| City: | PRESTONSBURG | ||||||||
| State: | KY | ||||||||
| PostalCode: | 416539113 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6068896200 | ||||||||
| FaxNumber: | 6068896201 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/22/2009 | ||||||||
| LastUpdateDate: | 10/22/2009 | ||||||||
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| AuthorizedOfficialLastName: | WARMAN | ||||||||
| AuthorizedOfficialFirstName: | BUD | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT / CEO | ||||||||
| AuthorizedOfficialTelephone: | 6068867600 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 42968 | KY | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.