Provider Demographics
NPI:1124885868
Name:AK HEALTHCARE MANAGEMENT INC.
Entity type:Organization
Organization Name:AK HEALTHCARE MANAGEMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:D'AMICO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-821-7739
Mailing Address - Street 1:1116 S MAIN ST STE 5A
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42261-9832
Mailing Address - Country:US
Mailing Address - Phone:270-288-5085
Mailing Address - Fax:270-288-5086
Practice Address - Street 1:1116 S MAIN ST STE 5A
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:KY
Practice Address - Zip Code:42261-9832
Practice Address - Country:US
Practice Address - Phone:270-288-5085
Practice Address - Fax:270-288-5086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health