Georgetown Medical, Llc

LBN: Georgetown Medical, Llc
Georgetown Medical, Llc is an health care organization with primary practice located at 105 Eastside Dr , Georgetown KY 40324-9797. The organization recently has only one registered license in Ambulatory Health Care Facilities / Methadone, which is considered as the primary health care specialty. Georgetown Medical, Llc can be contacted via phone (502) 868-0664, or through Tanis, Robyn via phone (856) 533-8762.

Contact Information

Primary practice address
105 Eastside Dr Georgetown KY 40324-9797
Phone: (502) 868-0664
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tanis, Robyn
Phone: (856) 533-8762

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Methadone 261QM2800X 810355 Kentucky

Profile Details

NPI number 1063824381
LBN Legal business name Georgetown Medical, Llc
DBA Doing business as
Authorized official Tanis, Robyn
Entity Organization
Organization subpart 1 No
Enumeration date May 21st, 2014
Last updated Sep 9th, 2021 - about 4 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 1063824381 NPPES
Kentucky Other 810355 STATE LICENSE

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