Ertel Medicine & Pediatrics-Powell, Psc

LBN: Ertel Medicine & Pediatrics-Powell, Psc
Ertel Medicine & Pediatrics-Powell, Psc is an health care organization with primary practice located at 68 E Elkins St , Stanton KY 40380-2311. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Ertel Medicine & Pediatrics-Powell, Psc can be contacted via phone (606) 663-2511, or through Ertel, Larry via phone (606) 663-2511.

Contact Information

Primary practice address
68 E Elkins St Stanton KY 40380-2311
Phone: (606) 663-2511
Fax: (606) 663-0711
Website:
Map and Directions
Authorized official contact:
Name: Ertel, Larry Doctor of Medicine (MD)
Phone: (606) 663-2511

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35650 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35650 Kentucky
Ambulatory Health Care Facilities / Rural Health 261QR1300X 35650 Kentucky

Profile Details

NPI number 1912054388
LBN Legal business name Ertel Medicine & Pediatrics-Powell, Psc
DBA Doing business as
Authorized official Ertel, Larry Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2007
Last updated Aug 20th, 2014 - about 12 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 1912054388 NPPES
Kentucky MEDICAID 7100003440

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