Provider Demographics
NPI:1962794149
Name:MEDCARE HEALTH LLC
Entity type:Organization
Organization Name:MEDCARE HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICARE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:V
Authorized Official - Last Name:BORDERS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:859-278-5926
Mailing Address - Street 1:2101 NICHOLASVILLE ROAD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-2517
Mailing Address - Country:US
Mailing Address - Phone:859-278-5926
Mailing Address - Fax:859-276-3189
Practice Address - Street 1:2101 NICHOLASVILLE ROAD
Practice Address - Street 2:SUITE 106
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2517
Practice Address - Country:US
Practice Address - Phone:859-278-5926
Practice Address - Fax:859-276-3189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-06
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty