Tri-State Digestive Disorder Center
LBN: Tri-State Gastroenterology Associates, Psc
Tri-State Digestive Disorder Center is an health care organization with primary practice located at 425 Centre View Blvd , Crestview Hills KY 41017-3409. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Tri-State Gastroenterology Associates, Psc can be contacted via phone (859) 341-3575, or through Fagel, Daniel G via phone (859) 341-3575.
Contact Information
Primary practice address
425 Centre View Blvd
Crestview Hills KY 41017-3409
Phone: (859) 341-3575
Fax: (859) 341-5702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 300096 | Kentucky |
Profile Details
| NPI number | 1487651956 |
|---|---|
| LBN Legal business name | Tri-State Gastroenterology Associates, Psc |
| DBA Doing business as | Tri-State Digestive Disorder Center |
| Authorized official | Fagel, Daniel G Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Jan 13th, 2015 - about 11 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 | 1487651956 | NPPES |
| Indiana | MEDICAID | 200354210A | |
| Indiana | Other | 000000003071 | |
| Indiana | Other | 490002071 | |
| Indiana | MEDICAID | 7100169710 |
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