Provider Demographics
NPI:1932118916
Name:ANCIRO PSC
Entity Type:Organization
Organization Name:ANCIRO PSC
Other - Org Name:URGENT MEDICAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:CATHERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-677-6787
Mailing Address - Street 1:PO BOX 997
Mailing Address - Street 2:754 S HWY 27
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42502-0997
Mailing Address - Country:US
Mailing Address - Phone:606-677-6787
Mailing Address - Fax:606-451-0035
Practice Address - Street 1:754 S HIGHWAY 27
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42501-3509
Practice Address - Country:US
Practice Address - Phone:606-677-6787
Practice Address - Fax:606-451-0035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYDC8516OtherRAILROAD MEDICARE
KY65942807Medicaid
KYDC8516OtherRAILROAD MEDICARE