Provider Demographics
NPI:1235446535
Name:CASH FAMILY PRACTICE, PLLC
Entity type:Organization
Organization Name:CASH FAMILY PRACTICE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:L
Authorized Official - Last Name:CASH
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:270-365-1225
Mailing Address - Street 1:302 MICBETH DRIVE
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:KY
Mailing Address - Zip Code:42445-6332
Mailing Address - Country:US
Mailing Address - Phone:270-365-1225
Mailing Address - Fax:270-365-1252
Practice Address - Street 1:302 MICBETH DRIVE
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:KY
Practice Address - Zip Code:42445-6332
Practice Address - Country:US
Practice Address - Phone:270-365-1225
Practice Address - Fax:270-365-1252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-08
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY18583207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000066258OtherBCBS PROVIDER NUMBER
KY64185838Medicaid
KY18583OtherLICENSE
KY000066258OtherBCBS PROVIDER NUMBER
KY64185838Medicaid