Campbell Medical Group

LBN: Campbell Medical Group, Md, Psc
Campbell Medical Group is an health care organization with primary practice located at 303 Professional Park Dr , Glasgow KY 42141-3487. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Campbell Medical Group, Md, Psc can be contacted via phone (270) 629-3772, or through Gibson, Jennifer Dalton via phone (270) 629-3772.

Contact Information

Primary practice address
303 Professional Park Dr Glasgow KY 42141-3487
Phone: (270) 629-3772
Fax: (270) 629-3774
Website:
Map and Directions
Authorized official contact:
Name: Gibson, Jennifer Dalton Registered Health Information Technician (RHIT)
Phone: (270) 629-3772

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33935 Kentucky
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 34221 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4716P Kentucky

Profile Details

NPI number 1003000803
LBN Legal business name Campbell Medical Group, Md, Psc
DBA Doing business as Campbell Medical Group
Authorized official Gibson, Jennifer Dalton Registered Health Information Technician (RHIT)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2007
Last updated Dec 5th, 2007 - about 17 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 1003000803 NPPES
Kentucky MEDICAID 64095326
Kentucky Other 000000333249
Kentucky Other 000000360876
Kentucky MEDICAID 64019003

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