Audubon Gi Psc

LBN: Audubon Gi Psc
Audubon Gi Psc is an health care organization with primary practice located at 1413 North Elm St Suite 105, Henderson KY 42420-4266. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Other Service Providers / Specialist is the primary health care specialty. Audubon Gi Psc can be contacted via phone (270) 826-0002, or through Canlas, Karen R. via phone (270) 826-0002.

Contact Information

Primary practice address
1413 North Elm St Suite 105 Henderson KY 42420-4266
Phone: (270) 826-0002
Fax: (270) 826-0003
Website:
Map and Directions
Authorized official contact:
Name: Canlas, Karen R. Doctor of Medicine (MD)
Phone: (270) 826-0002

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 18731 Kentucky
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 38601 Kentucky

Profile Details

NPI number 1639242613
LBN Legal business name Audubon Gi Psc
DBA Doing business as
Authorized official Canlas, Karen R. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2006
Last updated Jan 7th, 2010 - about 15 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 1639242613 NPPES
Kentucky Other 000000047502 BLUE CROSS BLUE SHIELD
Kentucky MEDICAID 64187313 BLUE CROSS BLUE SHIELD

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