Crab Orchard Family Practice Clinic, Inc.

LBN: Crab Orchard Family Practice Clinic, Inc.
Crab Orchard Family Practice Clinic, Inc. is an health care organization with primary practice located at 207 Main St , Crab Orchard KY 40419-9697. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as the primary health care specialty. Crab Orchard Family Practice Clinic, Inc. can be contacted via phone (606) 355-7300, or through Carter, Robert A. via phone (606) 528-0283.

Contact Information

Primary practice address
207 Main St Crab Orchard KY 40419-9697
Phone: (606) 355-7300
Fax: (606) 355-7310
Website:
Map and Directions
Authorized official contact:
Name: Carter, Robert A.
Phone: (606) 528-0283

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3630P Kentucky

Profile Details

NPI number 1033112362
LBN Legal business name Crab Orchard Family Practice Clinic, Inc.
DBA Doing business as
Authorized official Carter, Robert A.
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2005
Last updated Aug 22nd, 2020 - about 5 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 1033112362 NPPES
Kentucky MEDICAID 35-001353

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