Lakeside Primary Care

LBN: Essential Healthcare Llc
Lakeside Primary Care is an health care organization with primary practice located at 1260 Chesnut Bypass Suite A, Centre AL 35960-2834. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as the primary health care specialty. Essential Healthcare Llc can be contacted via phone (256) 266-1544, or through Kilgo, Aimee via phone (256) 266-1544.

Contact Information

Primary practice address
1260 Chesnut Bypass Suite A Centre AL 35960-2834
Phone: (256) 266-1544
Fax: (256) 266-1531
Website:
Map and Directions
Authorized official contact:
Name: Kilgo, Aimee CRNP
Phone: (256) 266-1544

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1720572407
LBN Legal business name Essential Healthcare Llc
DBA Doing business as Lakeside Primary Care
Authorized official Kilgo, Aimee CRNP
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2018
Last updated Dec 9th, 2022 - about 3 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 1720572407 NPPES
Alabama MEDICAID 224799

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