Provider Demographics
NPI:1104635663
Name:GILBERT BARBEE MOORE & MCILVOY, PSC
Entity type:Organization
Organization Name:GILBERT BARBEE MOORE & MCILVOY, PSC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SINCLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-781-5111
Mailing Address - Street 1:PO BOX 90007
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42102-9007
Mailing Address - Country:US
Mailing Address - Phone:270-780-2497
Mailing Address - Fax:
Practice Address - Street 1:400 N DIXIE HWY
Practice Address - Street 2:
Practice Address - City:CAVE CITY
Practice Address - State:KY
Practice Address - Zip Code:42127-9546
Practice Address - Country:US
Practice Address - Phone:270-773-2600
Practice Address - Fax:270-361-5101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-30
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health