Provider Demographics
NPI:1508341801
Name:GRAVES COUNTY HEALTH SERVICES PSC
Entity Type:Organization
Organization Name:GRAVES COUNTY HEALTH SERVICES PSC
Other - Org Name:TOTAL HEALTH CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-970-4755
Mailing Address - Street 1:1011 PARIS RD STE 341
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:42066-3306
Mailing Address - Country:US
Mailing Address - Phone:270-970-4755
Mailing Address - Fax:
Practice Address - Street 1:1011 PARIS RD STE 341
Practice Address - Street 2:
Practice Address - City:MAYFIELD
Practice Address - State:KY
Practice Address - Zip Code:42066-3306
Practice Address - Country:US
Practice Address - Phone:270-970-4755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-02
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYK290970OtherMEDICARE