Charity Gravile

Individual provider Active NPI Case Manager/Care Coordinator · Tompkinsville, KY

NPI 1861923005 · NPPES record last updated Mar 21, 2017

Key facts

NPI
1861923005
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
800 N Main St
Tompkinsville, KY 42167-1037
Phone
(270) 901-5000
Fax
(270) 842-5268
NPI assigned
Mar 21, 2017
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 Yes

Addresses

Primary practice location

800 N Main St
Tompkinsville, KY 42167-1037

Mailing address

800 N Ste a Main Street
Tompkinsville, KY 42167
Phone (270) 901-5000

Other providers in Tompkinsville, KY

All providers in Tompkinsville, KY · Case Manager/Care Coordinator in Kentucky

Sources for this page

Verify at the official NPI Registry.