Eastern Kentucky Family Medicine Pllc

LBN: Eastern Kentucky Family Medicine Pllc
Eastern Kentucky Family Medicine Pllc is an health care organization with primary practice located at 713 Broadway St , Paintsville KY 41240-1465. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Eastern Kentucky Family Medicine Pllc can be contacted via phone (606) 789-4255, or through Castle, Jason via phone (606) 789-4255.

Contact Information

Primary practice address
713 Broadway St Paintsville KY 41240-1465
Phone: (606) 789-4255
Fax: (606) 886-9908
Website:
Map and Directions
Authorized official contact:
Name: Castle, Jason Doctor of Medicine (MD)
Phone: (606) 789-4255

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 42069 Kentucky

Profile Details

NPI number 1730337247
LBN Legal business name Eastern Kentucky Family Medicine Pllc
DBA Doing business as
Authorized official Castle, Jason Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2008
Last updated May 4th, 2016 - about 10 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 1730337247 NPPES
Kentucky MEDICAID 7100056750

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