Edwards Clinic, Psc

LBN: Edwards Clinic, Psc
Edwards Clinic, Psc is an health care organization with primary practice located at 204 Town Branch Road , Manchester KY 40962-1322. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Edwards Clinic, Psc can be contacted via phone (606) 598-8766, or through Edwards, Dana via phone (606) 598-8766.

Contact Information

Primary practice address
204 Town Branch Road Manchester KY 40962-1322
Phone: (606) 598-8766
Fax: (606) 598-1903
Website:
Map and Directions
Authorized official contact:
Name: Edwards, Dana Doctor of Medicine (MD)
Phone: (606) 598-8766

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X Kentucky

Profile Details

NPI number 1154635407
LBN Legal business name Edwards Clinic, Psc
DBA Doing business as
Authorized official Edwards, Dana Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2010
Last updated Apr 26th, 2022 - about 4 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 1154635407 NPPES
Kentucky MEDICAID 7100157720

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