Provider Demographics
NPI:1609058437
Name:HUGH H WILHITE, M.D. PSC
Entity Type:Organization
Organization Name:HUGH H WILHITE, M.D. PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HUGH
Authorized Official - Middle Name:H
Authorized Official - Last Name:WILHITE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:270-273-3293
Mailing Address - Street 1:PO BOX 98
Mailing Address - Street 2:
Mailing Address - City:CALHOUN
Mailing Address - State:KY
Mailing Address - Zip Code:42327-0098
Mailing Address - Country:US
Mailing Address - Phone:270-273-3293
Mailing Address - Fax:270-273-3294
Practice Address - Street 1:145 EAST SECOND STREET
Practice Address - Street 2:
Practice Address - City:CALHOUN
Practice Address - State:KY
Practice Address - Zip Code:42327-0098
Practice Address - Country:US
Practice Address - Phone:270-273-3293
Practice Address - Fax:270-273-3294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-04
Last Update Date:2008-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY14534207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64145345Medicaid
2762Medicare PIN