Provider Demographics
NPI:1184769655
Name:HMR MANAGEMENT CORPORATION
Entity type:Organization
Organization Name:HMR MANAGEMENT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:TP
Authorized Official - Last Name:STIFLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:617-357-9876
Mailing Address - Street 1:4071 TATE CREEK CENTRE DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-3065
Mailing Address - Country:US
Mailing Address - Phone:877-807-7428
Mailing Address - Fax:859-422-4670
Practice Address - Street 1:4071 TATES CREEK CENTRE DR
Practice Address - Street 2:SUITE 300
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40517-3062
Practice Address - Country:US
Practice Address - Phone:859-422-4671
Practice Address - Fax:859-422-4670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY740133261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY8435Medicare ID - Type UnspecifiedGROUP NUMBER