Eadens-Grimball Internal Medicine Associates

LBN: Eadens-Grimball Internal Medicine Associates
Eadens-Grimball Internal Medicine Associates is an health care organization with primary practice located at 402 Bogle St Ste 3, Somerset KY 42503-2870. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Eadens-Grimball Internal Medicine Associates can be contacted via phone (606) 451-9953, or through Eadens, Debra Jo via phone (606) 451-9953.

Contact Information

Primary practice address
402 Bogle St Ste 3 Somerset KY 42503-2870
Phone: (606) 451-9953
Fax: (606) 451-1533
Website:
Map and Directions
Authorized official contact:
Name: Eadens, Debra Jo Doctor of Medicine (MD)
Phone: (606) 451-9953

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1366539223
LBN Legal business name Eadens-Grimball Internal Medicine Associates
DBA Doing business as
Authorized official Eadens, Debra Jo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2006
Last updated Feb 16th, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366539223 NPPES
Kentucky MEDICAID 7100049580

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