MORGAN-HAUGH MEDICAL GROUP - NPI 1659454924 - Clinic/Center in Mayfield, KY

Q: What is Morgan-Haugh Professional Services Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

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About Morgan-haugh Medical Group NPPES

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

MORGAN-HAUGH MEDICAL GROUP (NPI 1659454924) is a healthcare organization registered as a multi-specialty in Mayfield, Kentucky and active in the NPI registry since October 2006. The organization lists Martin P Braaksma, Administrator, as its authorized official.

NPPES Registry Identity

NPI1659454924

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameMORGAN-HAUGH PROFESSIONAL SERVICES CORPORATION

Location Address1111 MEDICAL CENTER CIRMayfield, KY 42066-1194

Mailing Address1111 Medical Center CirMayfield, KY 42066-1194 · (270) 247-8100 · Fax (270) 247-7780

Phone(270) 247-8100

Fax(270) 247-7780

Organization SubpartNo

Authorized OfficialMartin P BraaksmaAdministrator · (270) 650-7138

Enumeration DateOctober 23, 2006

Last NPPES UpdateDecember 10, 2008

✔ NPI 1659454924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

License✔ Licensed in KY · 27345

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedOtolaryngologyTaxonomy 207Y00000X

Also ListedPediatricsTaxonomy 208000000X · License 41115 (KY)

Also ListedPodiatristTaxonomy 213E00000X · License 00328 (KY)

Also ListedAudiologistTaxonomy 231H00000X · License 917 (KY)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 2813P (KY)

1111 MEDICAL CENTER CIR, Mayfield, KY 42066

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Other Names 1

Doing Business AsMorgan-haugh Medical Group

Other Identifiers 8

Other0421KY · Medicaid Site

Medicaid3370270TN

Medicare ID-Type Unspecified3176KY · Site Number

Medicare NSC0389010001KY

Medicare PIN3370270TN

OtherCE3275KY · Rr Grp No

OtherB08239004KY · Medicare Dme Submitter Id

Other6590034200KY · Medicaid Grp

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 20

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

MRS. CHRISTY MARIE BAKER PHARM.D., MBA

Pharmacist