Provider Demographics
NPI:1386911808
Name:NEWHOPE MINISTRIES, INC.
Entity type:Organization
Organization Name:NEWHOPE MINISTRIES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:GRIMES
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:606-674-8822
Mailing Address - Street 1:P.O. BOX 1088
Mailing Address - Street 2:41 S. COURT STREET
Mailing Address - City:OWINGSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40360-1088
Mailing Address - Country:US
Mailing Address - Phone:606-674-8822
Mailing Address - Fax:606-674-8262
Practice Address - Street 1:41 S. COURT STREET
Practice Address - Street 2:
Practice Address - City:OWINGSVILLE
Practice Address - State:KY
Practice Address - Zip Code:40360-1088
Practice Address - Country:US
Practice Address - Phone:606-674-8822
Practice Address - Fax:606-674-8262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-29
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY740144208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty