Eastern Ky Tender Care Pediatrics, Llc

LBN: Eastern Ky Tender Care Pediatrics, Llc
Eastern Ky Tender Care Pediatrics, Llc is an health care organization with primary practice located at 5000 Ky Route 321 Suite 3141, Prestonsburg KY 41653-9113. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Eastern Ky Tender Care Pediatrics, Llc can be contacted via phone (606) 886-7517, or through Hana, Antoin via phone (606) 886-7517.

Contact Information

Primary practice address
5000 Ky Route 321 Suite 3141 Prestonsburg KY 41653-9113
Phone: (606) 886-7517
Fax: (606) 886-7524
Website:
Map and Directions
Authorized official contact:
Name: Hana, Antoin Doctor of Medicine (MD)
Phone: (606) 886-7517

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1831190115
LBN Legal business name Eastern Ky Tender Care Pediatrics, Llc
DBA Doing business as
Authorized official Hana, Antoin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 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 1831190115 NPPES
Kentucky Other 000000260816 ANTHEM BCBS

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