Elite Emergency Services Of Kentucky, Pllc

LBN: Elite Emergency Services Of Kentucky, Pllc
Elite Emergency Services Of Kentucky, Pllc is an health care organization with primary practice located at 100 Medical Center Dr , Princeton KY 42445-2430. The organization recently has 5 registered licenses in different health care specialties including Other Service Providers / Contractor, Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Elite Emergency Services Of Kentucky, Pllc can be contacted via phone (270) 365-0438, or through Clemmons, Samuel C. via phone (615) 928-6275.

Contact Information

Primary practice address
100 Medical Center Dr Princeton KY 42445-2430
Phone: (270) 365-0438
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clemmons, Samuel C. Doctor of Medicine (MD)
Phone: (615) 928-6275

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X
Allopathic & Osteopathic Physicians / Electrodiagnostic Medicine 204R00000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1285909671
LBN Legal business name Elite Emergency Services Of Kentucky, Pllc
DBA Doing business as
Authorized official Clemmons, Samuel C. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2012
Last updated Aug 16th, 2018 - about 6 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 1285909671 NPPES
Kentucky MEDICAID 7100200270

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