Audubon Gi Psc
LBN: Audubon Gi Psc
Audubon Gi Psc is an health care organization with primary practice located at 1413 North Elm St Suite 105, Henderson KY 42420-4266. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Other Service Providers / Specialist is the primary health care specialty.
Audubon Gi Psc can be contacted via phone (270) 826-0002, or through Canlas, Karen R. via phone (270) 826-0002.
Contact Information
Primary practice address
1413 North Elm St Suite 105
Henderson KY 42420-4266
Phone: (270) 826-0002
Fax: (270) 826-0003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 18731 | Kentucky |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 38601 | Kentucky |
Profile Details
| NPI number | 1639242613 |
|---|---|
| LBN Legal business name | Audubon Gi Psc |
| DBA Doing business as | |
| Authorized official | Canlas, Karen R. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Jan 7th, 2010 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639242613 | NPPES |
| Kentucky | Other | 000000047502 | BLUE CROSS BLUE SHIELD |
| Kentucky | MEDICAID | 64187313 | BLUE CROSS BLUE SHIELD |
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