Provider Demographics
NPI:1306253190
Name:GINGER WEBB APRN
Entity type:Organization
Organization Name:GINGER WEBB APRN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GINGER
Authorized Official - Middle Name:ROGERS
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:606-478-4464
Mailing Address - Street 1:460 CAM BR
Mailing Address - Street 2:
Mailing Address - City:HAROLD
Mailing Address - State:KY
Mailing Address - Zip Code:41635-8705
Mailing Address - Country:US
Mailing Address - Phone:606-478-4464
Mailing Address - Fax:606-478-4464
Practice Address - Street 1:153 WEDDINGTON BRANCH RD.
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501
Practice Address - Country:US
Practice Address - Phone:606-432-2225
Practice Address - Fax:606-432-0966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-14
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3008661261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service