South Fork Clinic Pllc

LBN: Southfork Medical Clinic Pllc
South Fork Clinic Pllc is an health care organization with primary practice located at 57 Medical Lane , Whitley City KY 42653. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Southfork Medical Clinic Pllc can be contacted via phone (606) 376-7211, or through Correll, Virginia Ann via phone (606) 376-7212.

Contact Information

Primary practice address
57 Medical Lane Whitley City KY 42653
Phone: (606) 376-7211
Fax: (606) 376-9219
Website:
Map and Directions
Authorized official contact:
Name: Correll, Virginia Ann
Phone: (606) 376-7212

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1205616265
LBN Legal business name Southfork Medical Clinic Pllc
DBA Doing business as South Fork Clinic Pllc
Authorized official Correll, Virginia Ann
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2023
Last updated Apr 15th, 2024 - about 2 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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