Prestonsburg Health Center, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

25775 Issued in KY

Legal business name

PRESTONSBURG HEALTH CENTER, INC.

Practice address

113 Regency Park
Prestonsburg, KY 41653-9127

Phone

(606) 886-3077

Fax

(606) 886-3078

NPI assigned

Oct 13, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Laura Jean Hazeltine, M.D.

Title

Incorporator

Phone

(606) 886-3077

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1053646745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WALLEN DR",
            "city": "VAN LEAR",
            "state": "KY",
            "postal_code": "412659045",
            "telephone_number": "606-886-3077",
            "fax_number": "606-886-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 REGENCY PARK",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416539127",
            "telephone_number": "606-886-3077",
            "fax_number": "606-886-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTONSBURG HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "HAZELTINE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "606-886-3077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KY",
            "license": "25775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginger Preston
• John W. Preston, BA
• Kaitlyn Preston
• Mark Preston, BA
• Rachel Preston
• Prestonsburg Pharmacist Group LLC
• Prestonsburg Pharmacist Group LLC
• Prestonsburg Primary Care PLLC
• Andrew Prewitt
• Elizabeth Price-Slone

• Primary Care Clinic/Center in Prestonsburg, KY
• Providers in Prestonsburg, KY by specialty
• Primary Care Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.