Berea Urgent Care Llc
LBN: Berea Urgent Care Llc
Berea Urgent Care Llc is an health care organization with primary practice located at 234 Brenwood St , Berea KY 40403-1637. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Urgent Care, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is the primary health care specialty.
Berea Urgent Care Llc can be contacted via phone (859) 985-0302, or through Soda, Nawar via phone (859) 985-0302.
Contact Information
Primary practice address
234 Brenwood St
Berea KY 40403-1637
Phone: (859) 985-0302
Fax: (859) 985-0308
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1912054792 |
|---|---|
| LBN Legal business name | Berea Urgent Care Llc |
| DBA Doing business as | |
| Authorized official | Soda, Nawar |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | May 12th, 2016 - about 9 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 | 1912054792 | NPPES |
| Kentucky | Other | 18D1046850 | CLIA |
| Kentucky | MEDICAID | 65944373 | CLIA |
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