Foot And Ankle Clinic, Pc

LBN: Foot And Ankle Clinic, Pc
Foot And Ankle Clinic, Pc is an health care organization with primary practice located at 810 N 22Nd St , Blair NE 68008-1128. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Foot And Ankle Clinic, Pc can be contacted via phone (402) 426-1239, or through Ung, Kham Vay via phone (712) 255-0502.

Contact Information

Primary practice address
810 N 22Nd St Blair NE 68008-1128
Fax: (402) 426-1191
Website:
Authorized official contact:
Name: Ung, Kham Vay Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 00505 Iowa

Profile Details

NPI number 1922304682
LBN Legal business name Foot And Ankle Clinic, Pc
DBA Doing business as
Authorized official Ung, Kham Vay Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2011
Last updated Jun 14th, 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 1922304682 NPPES
Iowa MEDICAID 0476317
Iowa MEDICAID 6800690
Iowa MEDICAID 6800700
Iowa MEDICAID 6800454

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