Pt West Pc

LBN: Pt West Pc
Pt West Pc is an health care organization with primary practice located at 100 S Main , Gordon NE 69343-1618. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Pt West Pc can be contacted via phone (308) 282-0203, or through Marlatt, Kimberly J via phone (308) 282-0203.

Contact Information

Primary practice address
100 S Main Gordon NE 69343-1618
Phone: (308) 282-0203
Fax: (308) 282-1276
Website:
Map and Directions
Authorized official contact:
Name: Marlatt, Kimberly J PT ATC
Phone: (308) 282-0203

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 651 Nebraska

Profile Details

NPI number 1245323831
LBN Legal business name Pt West Pc
DBA Doing business as
Authorized official Marlatt, Kimberly J PT ATC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated May 19th, 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 1245323831 NPPES
South Dakota MEDICAID 5831283
South Dakota Other 39986
South Dakota MEDICAID 10025453000

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