Family Medical Specialty Clinic Pllc
LBN: Family Medical Specialty Clinic Pllc
Family Medical Specialty Clinic Pllc is an health care organization with primary practice located at 12 Jackson Heights Drive Family Medical & Specialty Clinic, Llc, Jackson KY 41339. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Family Medical Specialty Clinic Pllc can be contacted via phone (606) 693-0199, or through Abadilla, June E via phone (606) 693-0199.
Contact Information
Primary practice address
12 Jackson Heights Drive Family Medical & Specialty Clinic, Llc
Jackson KY 41339
Phone: (606) 693-0199
Fax: (606) 666-9480
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
NPI number | 1992863021 |
---|---|
LBN Legal business name | Family Medical Specialty Clinic Pllc |
DBA Doing business as | |
Authorized official | Abadilla, June E Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 4th, 2006 |
Last updated | Sep 25th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992863021 | NPPES |
Kentucky | MEDICAID | 31000904 |
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