Christian Cardiology Internal Medicine

LBN: Christian Cardiology Internal Medicine
Christian Cardiology Internal Medicine is an health care organization with primary practice located at 113 Main St , Manchester KY 40962-1258. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Christian Cardiology Internal Medicine can be contacted via phone (606) 598-5807, or through Collatz, Teresa via phone (606) 598-5807.

Contact Information

Primary practice address
113 Main St Manchester KY 40962-1258
Phone: (606) 598-5807
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Collatz, Teresa CEO
Phone: (606) 598-5807

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1801970439
LBN Legal business name Christian Cardiology Internal Medicine
DBA Doing business as
Authorized official Collatz, Teresa CEO
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1801970439 NPPES
Kentucky MEDICAID 65930133

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