Basic Information
| Provider Information | |||||||||
| NPI: | 1982009940 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | TALMADGE V HAYS PSC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 121 W VIRGINIA AVE | ||||||||
| Address2: | |||||||||
| City: | PINEVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 409771661 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6063377002 | ||||||||
| FaxNumber: | 6063373393 | ||||||||
| Practice Location | |||||||||
| Address1: | 121 W VIRGINIA AVE | ||||||||
| Address2: | |||||||||
| City: | PINEVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 409771661 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6063377002 | ||||||||
| FaxNumber: | 6063373393 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/03/2014 | ||||||||
| LastUpdateDate: | 11/03/2014 | ||||||||
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| AuthorizedOfficialLastName: | HAYS | ||||||||
| AuthorizedOfficialFirstName: | TALMADGE | ||||||||
| AuthorizedOfficialMiddleName: | V | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 6063377002 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR1300X | KY | Y | Ambulatory Health Care Facilities | Clinic/Center | Rural Health |
No ID Information.