Northside Pediatrics Psc

LBN: Northside Pediatrics Psc
Northside Pediatrics Psc is an health care organization with primary practice located at 290 Old Jackson Hwy 31E Loop , Glasgow KY 42141-9089. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Northside Pediatrics Psc can be contacted via phone (270) 678-5740, or through Moss, Sandra Dotson via phone (270) 678-5740.

Contact Information

Primary practice address
290 Old Jackson Hwy 31E Loop Glasgow KY 42141-9089
Phone: (270) 678-5740
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moss, Sandra Dotson Doctor of Medicine (MD)
Phone: (270) 678-5740

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 19876 Kentucky

Profile Details

NPI number 1295894137
LBN Legal business name Northside Pediatrics Psc
DBA Doing business as
Authorized official Moss, Sandra Dotson Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1295894137 NPPES
Kentucky Other 000000057724 BLUE CROSS BLUE SHIELD
Kentucky MEDICAID 64198765 BLUE CROSS BLUE SHIELD

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