Provider Demographics
NPI:1063737864
Name:C & T HEALTHCARE PLLC
Entity type:Organization
Organization Name:C & T HEALTHCARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:M
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-295-3400
Mailing Address - Street 1:PO BOX 87
Mailing Address - Street 2:8070 US HWY 60 WEST
Mailing Address - City:LEWISPORT
Mailing Address - State:KY
Mailing Address - Zip Code:42351-7087
Mailing Address - Country:US
Mailing Address - Phone:270-295-3400
Mailing Address - Fax:270-295-3401
Practice Address - Street 1:8070 US HWY 60 WEST
Practice Address - Street 2:
Practice Address - City:LEWISPORT
Practice Address - State:KY
Practice Address - Zip Code:42351-7087
Practice Address - Country:US
Practice Address - Phone:270-295-3400
Practice Address - Fax:270-295-3401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-05
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100129500Medicaid
KYS81683Medicare UPIN
KY78010691Medicaid