Provider Demographics
NPI:1356807770
Name:THE TALMADGE GROUP INC
Entity type:Organization
Organization Name:THE TALMADGE GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:TALMADGE
Authorized Official - Last Name:BRYSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:606-372-1035
Mailing Address - Street 1:509 10TH ST
Mailing Address - Street 2:
Mailing Address - City:PAINTSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41240-1200
Mailing Address - Country:US
Mailing Address - Phone:606-372-1035
Mailing Address - Fax:606-372-1037
Practice Address - Street 1:509 10TH ST
Practice Address - Street 2:
Practice Address - City:PAINTSVILLE
Practice Address - State:KY
Practice Address - Zip Code:41240-1200
Practice Address - Country:US
Practice Address - Phone:606-372-1035
Practice Address - Fax:606-372-1037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-11
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
1427522028OtherPROVIDER NPI