East Kentucky Medical Group, Psc
LBN: East Kentucky Medical Group, Psc
East Kentucky Medical Group, Psc is an health care organization with primary practice located at 50 Weddington Branch Rd Suite B, Pikeville KY 41501-3296. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
East Kentucky Medical Group, Psc can be contacted via phone (606) 432-2172, or through Johnson, Lela C via phone (606) 432-2172.
Contact Information
Primary practice address
50 Weddington Branch Rd Suite B
Pikeville KY 41501-3296
Phone: (606) 432-2172
Fax: (606) 433-0143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1568443422 |
|---|---|
| LBN Legal business name | East Kentucky Medical Group, Psc |
| DBA Doing business as | |
| Authorized official | Johnson, Lela C Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Apr 30th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568443422 | NPPES |
| Kentucky | MEDICAID | 7100105940 |
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