Independence Urgent Care Llc

LBN: Independence Urgent Care Llc
Independence Urgent Care Llc is an health care organization with primary practice located at 2025 Declaration Drive , Independence KY 41051. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Independence Urgent Care Llc can be contacted via phone (859) 363-3330, or through Brijawi, Bashar via phone (859) 363-3330.

Contact Information

Primary practice address
2025 Declaration Drive Independence KY 41051
Phone: (859) 363-3330
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brijawi, Bashar Doctor of Medicine (MD)
Phone: (859) 363-3330

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 0726566 Kentucky

Profile Details

NPI number 1508000951
LBN Legal business name Independence Urgent Care Llc
DBA Doing business as
Authorized official Brijawi, Bashar Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 29th, 2009
Last updated Apr 7th, 2010 - about 16 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 1508000951 NPPES
Kentucky MEDICAID 7100091380

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