Frederick Medical Clinic, Psc

LBN: Frederick Medical Clinic, Psc
Frederick Medical Clinic, Psc is an health care organization with primary practice located at 430 Liberty Rd , West Liberty KY 41472-2049. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Frederick Medical Clinic, Psc can be contacted via phone (606) 743-3114, or through Frederick, James Denzil via phone (606) 743-3114.

Contact Information

Primary practice address
430 Liberty Rd West Liberty KY 41472-2049
Phone: (606) 743-3114
Fax: (606) 743-1404
Website:
Map and Directions
Authorized official contact:
Name: Frederick, James Denzil Doctor of Medicine (MD)
Phone: (606) 743-3114

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X 183940 Kentucky

Profile Details

NPI number 1194829812
LBN Legal business name Frederick Medical Clinic, Psc
DBA Doing business as
Authorized official Frederick, James Denzil Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2006
Last updated Apr 11th, 2014 - about 10 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 1194829812 NPPES
Kentucky MEDICAID 7100150550
Kentucky MEDICAID 35002013

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