Salem Medical Clinic
LBN: Tri-Rivers Healthcare Pllc
Salem Medical Clinic is an health care organization with primary practice located at 141 Hospital Dr , Salem KY 42078-8043. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Tri-Rivers Healthcare Pllc can be contacted via phone (270) 988-3298, or through Heneisen, Michael Albin via phone (270) 988-3298.
Contact Information
Primary practice address
141 Hospital Dr
Salem KY 42078-8043
Phone: (270) 988-3298
Fax: (270) 988-4642
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | 900216 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1588644496 |
|---|---|
| LBN Legal business name | Tri-Rivers Healthcare Pllc |
| DBA Doing business as | Salem Medical Clinic |
| Authorized official | Heneisen, Michael Albin |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Jul 12th, 2016 - about 8 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 | 1588644496 | NPPES |
| Kentucky | MEDICAID | 6590103500 | |
| Kentucky | MEDICAID | 7100091640 | |
| Kentucky | MEDICAID | 7890094100 |
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