Provider Demographics
NPI:1306014220
Name:JOSEPH H RAPIER JR PSC
Entity Type:Organization
Organization Name:JOSEPH H RAPIER JR PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:H
Authorized Official - Last Name:RAPIER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:606-886-8553
Mailing Address - Street 1:400 UNIVERSITY DRIVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PRESTONSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41653
Mailing Address - Country:US
Mailing Address - Phone:606-886-8553
Mailing Address - Fax:606-886-8553
Practice Address - Street 1:400 UNIVERSITY DRIVE
Practice Address - Street 2:SUITE 101
Practice Address - City:PRESTONSBURG
Practice Address - State:KY
Practice Address - Zip Code:41653-1080
Practice Address - Country:US
Practice Address - Phone:606-886-8553
Practice Address - Fax:606-886-8553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY14865174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64148653Medicaid
KY64148653Medicaid