Basic Information
| Provider Information | |||||||||
| NPI: | 1801497201 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | STERLING HEALTH SOLUTIONS INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 236 W MAIN ST | ||||||||
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| City: | MOUNT STERLING | ||||||||
| State: | KY | ||||||||
| PostalCode: | 403531348 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8594047686 | ||||||||
| FaxNumber: | 8592744312 | ||||||||
| Practice Location | |||||||||
| Address1: | 770 W COLLEGE AVE | ||||||||
| Address2: | |||||||||
| City: | STANTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 403802224 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8594047686 | ||||||||
| FaxNumber: | 8592744312 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/03/2020 | ||||||||
| LastUpdateDate: | 11/03/2020 | ||||||||
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| AuthorizedOfficialLastName: | BRYANT | ||||||||
| AuthorizedOfficialFirstName: | TINA | ||||||||
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| AuthorizedOfficialTitleorPosition: | INTERIM CEO/CAO | ||||||||
| AuthorizedOfficialTelephone: | 8594047686 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 11/02/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QF0400X | Y | Ambulatory Health Care Facilities | Clinic/Center | Federally Qualified Health Center (FQHC) |
No ID Information.