Provider Demographics
NPI:1750864195
Name:CORE HEALTH CENTERS OF HAMBURG LLC
Entity Type:Organization
Organization Name:CORE HEALTH CENTERS OF HAMBURG LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER-DC
Authorized Official - Prefix:DR
Authorized Official - First Name:JEREMIAH
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:606-831-4432
Mailing Address - Street 1:2530 SIR BARTON WAY STE# 125
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-2275
Mailing Address - Country:US
Mailing Address - Phone:606-831-4432
Mailing Address - Fax:859-287-1171
Practice Address - Street 1:2530 SIR BARTON WAY STE# 125
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-2275
Practice Address - Country:US
Practice Address - Phone:606-831-4432
Practice Address - Fax:859-287-1171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-12
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty