Provider Demographics
NPI:1023079399
Name:NET CARE INC
Entity type:Organization
Organization Name:NET CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:FRALEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-298-0061
Mailing Address - Street 1:PO BOX 1736
Mailing Address - Street 2:
Mailing Address - City:INEZ
Mailing Address - State:KY
Mailing Address - Zip Code:41224-1736
Mailing Address - Country:US
Mailing Address - Phone:606-298-0061
Mailing Address - Fax:
Practice Address - Street 1:2897 BLACKLOG RD
Practice Address - Street 2:
Practice Address - City:INEZ
Practice Address - State:KY
Practice Address - Zip Code:41224-9026
Practice Address - Country:US
Practice Address - Phone:606-298-0061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-28
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3009341600000X
KY1639341600000X
KY1675341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY55080022Medicaid
OH2215347Medicaid
KY56008246Medicaid
WV0014080000Medicaid
KY22000000070413OtherANTHEM BCBS
WV0014080000Medicaid