Provider Demographics
NPI:1013655349
Name:HOBSON HEALTHCARE CLINIC
Entity Type:Organization
Organization Name:HOBSON HEALTHCARE CLINIC
Other - Org Name:HOBSON HEALTHCARE CLINIC, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-220-8331
Mailing Address - Street 1:10363 REGINA BELCHER HWY
Mailing Address - Street 2:
Mailing Address - City:ELKHORN CITY
Mailing Address - State:KY
Mailing Address - Zip Code:41522-8510
Mailing Address - Country:US
Mailing Address - Phone:606-220-8331
Mailing Address - Fax:606-266-8301
Practice Address - Street 1:10363 REGINA BELCHER HWY
Practice Address - Street 2:
Practice Address - City:ELKHORN CITY
Practice Address - State:KY
Practice Address - Zip Code:41522-8510
Practice Address - Country:US
Practice Address - Phone:606-220-8331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-25
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care