Estill Medical Clinic, Psc

LBN: Estill Medical Clinic, Psc
Estill Medical Clinic, Psc is an health care organization with primary practice located at 275 Court St , Irvine KY 40336-1077. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Estill Medical Clinic, Psc can be contacted via phone (606) 723-2167, or through Isfort, Donna R via phone (606) 723-2167.

Contact Information

Primary practice address
275 Court St Irvine KY 40336-1077
Phone: (606) 723-2167
Fax: (606) 723-2112
Website:
Map and Directions
Authorized official contact:
Name: Isfort, Donna R Advanced Practice Registered Nurse (APRN)
Phone: (606) 723-2167

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1154500296
LBN Legal business name Estill Medical Clinic, Psc
DBA Doing business as
Authorized official Isfort, Donna R Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2007
Last updated Nov 9th, 2011 - about 13 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 1154500296 NPPES
Kentucky Other 000000507512 ANTHEM
Kentucky MEDICAID 64142649 ANTHEM

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