<Unavail>

LBN: Larry J Russell
<Unavail> is an health care organization with primary practice located at 1027 Fleming Street , Hendersonville NC 28791. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Larry J Russell can be contacted via phone (828) 692-5781, or through Ward, Laura H via phone (828) 692-5781.

Contact Information

Primary practice address
1027 Fleming Street Hendersonville NC 28791
Phone: (828) 692-5781
Fax: (828) 696-8606
Website:
Map and Directions
Authorized official contact:
Name: Ward, Laura H
Phone: (828) 692-5781

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1336114784
LBN Legal business name Larry J Russell
DBA Doing business as <Unavail>
Authorized official Ward, Laura H
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2006
Last updated Jan 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336114784 NPPES
Other 1891772513 NPI
Other 2322577A NPI
MEDICAID 89016T5 NPI

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