Provider Demographics
NPI:1164563334
Name:CAGLE AND BAILEY ADULT HEALTH PLLC
Entity Type:Organization
Organization Name:CAGLE AND BAILEY ADULT HEALTH PLLC
Other - Org Name:CAGLE AND BAILEY ADULT HEALTH PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OFFICE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:TALANA
Authorized Official - Middle Name:
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-753-4616
Mailing Address - Street 1:305 S 8TH ST STE A
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-2404
Mailing Address - Country:US
Mailing Address - Phone:270-753-4616
Mailing Address - Fax:270-767-3623
Practice Address - Street 1:305 S 8TH ST STE A
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071-2404
Practice Address - Country:US
Practice Address - Phone:270-753-4616
Practice Address - Fax:270-767-3623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY00354OtherMEDICARE
KYR38242Medicare UPIN
KY00354002Medicare PIN
KYP34564Medicare UPIN
KY00354001Medicare PIN