Debra Amburgey Teague

Individual provider Active NPI Community Health Worker · Hazard, KY

NPI 1851696207 · NPPES record last updated Jan 17, 2011

Key facts

NPI
1851696207
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
115 Rockwood LN
Hazard, KY 41701-9415
Phone
(606) 436-5761
Fax
(606) 435-0817
NPI assigned
Jan 17, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

115 Rockwood LN
Hazard, KY 41701-9415

Mailing address

115 Rockwood LN
Hazard, KY 41701-9415
Phone (606) 436-5761

Other providers in Hazard, KY

All providers in Hazard, KY · Community Health Worker in Kentucky

Sources for this page

Verify at the official NPI Registry.