Tim Long M.D., Psc
LBN: Tim Long M.D., Psc
Tim Long M.D., Psc is an health care organization with primary practice located at 1320 Andrea St , Bowling Green KY 42104-3334. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Tim Long M.D., Psc can be contacted via phone (270) 746-5455, or through Long, Timothy R. via phone (270) 746-5455.
Contact Information
Primary practice address
1320 Andrea St
Bowling Green KY 42104-3334
Phone: (270) 746-5455
Fax: (270) 746-5688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1417057902 |
|---|---|
| LBN Legal business name | Tim Long M.D., Psc |
| DBA Doing business as | |
| Authorized official | Long, Timothy R. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 24th, 2006 |
| Last updated | Mar 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417057902 | NPPES |
| Kentucky | MEDICAID | 65936585 | |
| Kentucky | Other | DA8524 | |
| Kentucky | Other | 000000216368 |
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