Green Valley Rural Clinics, Llc

LBN: Green Valley Rural Clinics, Llc
Green Valley Rural Clinics, Llc is an health care organization with primary practice located at 156 Island Creek Rd , Pikeville KY 41501-9340. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Geriatric Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Green Valley Rural Clinics, Llc can be contacted via phone (606) 432-3221, or through So, Djien H. via phone (606) 432-3221.

Contact Information

Primary practice address
156 Island Creek Rd Pikeville KY 41501-9340
Phone: (606) 432-3221
Fax: (606) 437-0438
Website:
Map and Directions
Authorized official contact:
Name: So, Djien H.
Phone: (606) 432-3221

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1962602821
LBN Legal business name Green Valley Rural Clinics, Llc
DBA Doing business as
Authorized official So, Djien H.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2007
Last updated Nov 1st, 2012 - about 12 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 1962602821 NPPES
Kentucky MEDICAID 65925638

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