Provider Demographics
NPI:1689199705
Name:HANCOCK HEALTH LLC
Entity Type:Organization
Organization Name:HANCOCK HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NP
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:270-922-9282
Mailing Address - Street 1:185 STATE ROUTE 271 S
Mailing Address - Street 2:
Mailing Address - City:LEWISPORT
Mailing Address - State:KY
Mailing Address - Zip Code:42351-6701
Mailing Address - Country:US
Mailing Address - Phone:270-927-9991
Mailing Address - Fax:270-927-9990
Practice Address - Street 1:185 STATE ROUTE 271 S
Practice Address - Street 2:
Practice Address - City:LEWISPORT
Practice Address - State:KY
Practice Address - Zip Code:42351-6701
Practice Address - Country:US
Practice Address - Phone:270-927-9991
Practice Address - Fax:270-927-9990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3011505363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty