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Stacy Wages

Community Health Worker in Prestonsburg, KY. Individual provider (NPI-1).

NPI number1093371346
StatusActive
Last updated in NPPESMay 13, 2019

Details

NPI
1093371346
Entity type
Individual (NPI-1)
Name
Stacy Wages
Sex
Female
Sole proprietor
No
Enumeration date
May 13, 2019
Last updated
May 13, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

104 S Front Ave
Prestonsburg, KY 41653-1614

Phone 606-886-8572 · Fax 606-886-4433

Mailing address

104 S Front Ave
Prestonsburg, KY 41653-1614

Phone 606-886-8572 · Fax 606-886-4433

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Community Health Worker providers in Prestonsburg, KY

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