1740279926 NPI number — HEALTH HELP INC

Table of content: (NPI 1740279926)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740279926 NPI number — HEALTH HELP INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEALTH HELP INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
WHITE HOUSE CLINIC PHARMACY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740279926
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1010 MAIN ST S
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MC KEE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40447-7089
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
606-287-4410
Provider Business Mailing Address Fax Number:
606-287-3348

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1010 MAIN STREET S
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MCKEE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40447-9425
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-287-4410
Provider Business Practice Location Address Fax Number:
606-287-3348
Provider Enumeration Date:
10/19/2005

Additional Information

Authorized Official

Authorized Official Last Name:
CHEEK
Authorized Official First Name:
REBECCA
Authorized Official Middle Name:
G
Authorized Official Title or Position:
DIRECTOR OF PHARMACY
Authorized Official Telephone Number:
606-287-4410

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  90001454 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 333600000X , with the licence number: P06247 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: P06247 . This is a "STATE LICENSE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 54033055 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 90001454 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".




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