Edwards Clinic, Psc
Clinic/Center, Rural Health in Manchester, KY. Organization (NPI-2).
NPI number1154635407
StatusActive
Last updated in NPPESApr 22, 2025
Details
- NPI
- 1154635407
- Entity type
- Organization (NPI-2)
- Legal business name
- Edwards Clinic, Psc
- Organization subpart
- No
- Enumeration date
- Jul 28, 2010
- Certification date
- Apr 22, 2025
- Last updated
- Apr 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | – | Yes |
| 208600000X | Surgery | – | KY | |
| 363L00000X | Nurse Practitioner | – | KY | |
| 363LF0000X | Nurse Practitioner, Family | – | KY |
Practice location
204 Town Branch RoadManchester, KY 40962-1322
Phone 606-598-8766 · Fax 606-598-1903
Mailing address
204 Town Branch RdManchester, KY 40962-1322
Phone 606-598-8766 · Fax 606-598-1903
Authorized official
Dana Edwards
President
6065988766
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