Mark Pefley

LBN: Mark Pefley
Mark Pefley is an health care organization with primary practice located at 1736 Broadway St , Anderson IN 46012-2447. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Mark Pefley can be contacted via phone (765) 642-3588, or through Parker, Beth A via phone (765) 642-3588.

Contact Information

Primary practice address
1736 Broadway St Anderson IN 46012-2447
Phone: (765) 642-3588
Fax: (765) 649-1226
Website:
Map and Directions
Authorized official contact:
Name: Parker, Beth A
Phone: (765) 642-3588

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1326500323
LBN Legal business name Mark Pefley
DBA Doing business as
Authorized official Parker, Beth A
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2019
Last updated Apr 1st, 2019 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1326500323 NPPES
Indiana MEDICAID 10017297OA

Popular Providers