Provider Demographics
NPI:1437712577
Name:SCIENCE HILL FAMILY CARE
Entity Type:Organization
Organization Name:SCIENCE HILL FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR DIRECTOR OF CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:A
Authorized Official - Last Name:ORLOV
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:606-649-2211
Mailing Address - Street 1:203 S WATER ST
Mailing Address - Street 2:
Mailing Address - City:LOUISA
Mailing Address - State:KY
Mailing Address - Zip Code:41230-1347
Mailing Address - Country:US
Mailing Address - Phone:859-559-3245
Mailing Address - Fax:606-685-6179
Practice Address - Street 1:5775 N HIGHWAY 27 STE 6
Practice Address - Street 2:
Practice Address - City:SCIENCE HILL
Practice Address - State:KY
Practice Address - Zip Code:42553-9140
Practice Address - Country:US
Practice Address - Phone:606-685-6131
Practice Address - Fax:606-685-6179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-15
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health