Corbin Pediatric Associates Psc
LBN: Corbin Pediatric Associates Psc
Corbin Pediatric Associates Psc is an health care organization with primary practice located at 60 Bryan Boulevard Ste 200, Corbin KY 40701. The organization recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Corbin Pediatric Associates Psc can be contacted via phone (606) 528-9700, or through May, Vernon Mitchell via phone (606) 528-9700.
Contact Information
Primary practice address
60 Bryan Boulevard Ste 200
Corbin KY 40701
Phone: (606) 528-9700
Fax: (606) 528-8423
Website:
Authorized official contact:
Name: May, Vernon Mitchell Doctor of Medicine (MD)
Phone: (606) 528-9700
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | ||
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
Ambulatory Health Care Facilities / Rural Health | 261QR1300X | 900173 | Kentucky |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X |
Profile Details
NPI number | 1609960830 |
---|---|
LBN Legal business name | Corbin Pediatric Associates Psc |
DBA Doing business as | |
Authorized official | May, Vernon Mitchell Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Oct 3rd, 2006 |
Last updated | Aug 13th, 2014 - about 11 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 | 1609960830 | NPPES |
Kentucky | MEDICAID | 7100159920 |
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