EDMONTON PRIMARY CARE NURSING GROUP
NPI 1629240759
Nurse Practitioner - Family in Edmonton, KY

Active since March 28, 2008
903 WEST STOCKTON STREET, EDMONTON, KY 42129(270) 432-5782(270) 432-0001 Get Directions Write a Review

NPPES record last updated: March 28, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Edmonton Primary Care Nursing Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDMONTON PRIMARY CARE NURSING GROUP (NPI 1629240759) is a healthcare organization registered as a family in Edmonton, Kentucky and active in the NPI registry since March 2008. The organization lists Rex A Tungate, Ceo, Administrator, as its authorized official.

NPPES Registry Identity

NPI1629240759
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameEDMONTON PRIMARY CARE NURSING GROUP
Location Address903 WEST STOCKTON STREETEdmonton, KY 42129
Mailing Address903 West Stockton StreetEdmonton, KY 42129 · (270) 432-5782 · Fax (270) 432-0001
Fax(270) 432-0001
Organization SubpartYesParent: Adair County Hospital District
Authorized OfficialRex A TungateCeo, Administrator · (270) 384-4753
Enumeration DateMarch 28, 2008
NPI 1629240759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 1854P
903 WEST STOCKTON STREET, Edmonton, KY 42129

Other Identifiers 1

Medicaid7890217800KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
903 WEST STOCKTON STREET
EDMONTON, KY 42129

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edmonton Primary Care Nursing Group's NPI number?

The NPI number for Edmonton Primary Care Nursing Group is 1629240759. It was assigned to this organization in the NPPES registry on March 28, 2008.

Where is Edmonton Primary Care Nursing Group located?

Edmonton Primary Care Nursing Group is located at 903 West Stockton Street, Edmonton, KY 42129. The listed phone number is (270) 432-5782.

What is Edmonton Primary Care Nursing Group's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Edmonton Primary Care Nursing Group was last updated on March 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.