Heartland Sports Medicine & Rehabilitation
LBN: Commonwealth Rehabilitation And Sports Medicine, P.S.C.
Heartland Sports Medicine & Rehabilitation is an health care organization with primary practice located at 193 Glades Rd , Berea KY 40403-1369. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty.
Commonwealth Rehabilitation And Sports Medicine, P.S.C. can be contacted via phone (859) 986-1055, or through Mccray, Robert via phone (419) 537-0764.
Contact Information
Primary practice address
193 Glades Rd
Berea KY 40403-1369
Phone: (859) 986-1055
Fax: (859) 986-1002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X |
Profile Details
| NPI number | 1184670028 |
|---|---|
| LBN Legal business name | Commonwealth Rehabilitation And Sports Medicine, P.S.C. |
| DBA Doing business as | Heartland Sports Medicine & Rehabilitation |
| Authorized official | Mccray, Robert Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Oct 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184670028 | NPPES |
| Other | 412190836-02 | OHIO BWC | |
| Other | 611270800 | OHIO BWC | |
| MEDICAID | 8790053600 | OHIO BWC |
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