Heart Specialists Of Se Ky Psc
LBN: Heart Specialists Of Se Ky Psc
Heart Specialists Of Se Ky Psc is an health care organization with primary practice located at 45 Moonbow Plz , Corbin KY 40701-8949. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Other Service Providers / Specialist is the primary health care specialty.
Heart Specialists Of Se Ky Psc can be contacted via phone (606) 523-9010, or through Okuma, Janie Renee via phone (606) 523-9010.
Contact Information
Primary practice address
45 Moonbow Plz
Corbin KY 40701-8949
Phone: (606) 523-9010
Fax: (606) 523-5923
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 29557 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA249 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 4069P | Kentucky |
Profile Details
| NPI number | 1386752756 |
|---|---|
| LBN Legal business name | Heart Specialists Of Se Ky Psc |
| DBA Doing business as | Heart Specialists Of Se Ky Psc |
| Authorized official | Okuma, Janie Renee |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 27th, 2006 |
| Last updated | Jun 30th, 2008 - about 18 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 | 1386752756 | NPPES |
| Kentucky | MEDICAID | 65914996 |
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