Saint Mark'S Family And Specialty Clinic

LBN: Family Medical Specialty Clinic D.B.A.
Saint Mark'S Family And Specialty Clinic is an health care organization with primary practice located at 95 Jackson Hts , Jackson KY 41339-6500. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Family Medical Specialty Clinic D.B.A. can be contacted via phone (606) 693-0199, or through Abadilla, June via phone (606) 666-7040.

Contact Information

Primary practice address
95 Jackson Hts Jackson KY 41339-6500
Phone: (606) 693-0199
Fax: (606) 693-0299
Website:
Map and Directions
Authorized official contact:
Name: Abadilla, June Doctor of Medicine (MD)
Phone: (606) 666-7040

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1497817944
LBN Legal business name Family Medical Specialty Clinic D.B.A.
DBA Doing business as Saint Mark'S Family And Specialty Clinic
Authorized official Abadilla, June Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2006
Last updated Apr 15th, 2008 - about 16 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 1497817944 NPPES
Kentucky MEDICAID 31000904

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