Immediate Care Clinic

LBN: Icc Medical Llc
Immediate Care Clinic is an health care organization with primary practice located at 405 S. L. Rogers Wells Blvd , Glasgow KY 42141. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Icc Medical Llc can be contacted via phone (270) 834-8892, or through Williams, Roger Todd via phone (270) 834-8892.

Contact Information

Primary practice address
405 S. L. Rogers Wells Blvd Glasgow KY 42141
Phone: (270) 834-8892
Fax: (270) 834-8899
Website:
Map and Directions
Authorized official contact:
Name: Williams, Roger Todd Doctor of Medicine (MD)
Phone: (270) 834-8892

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1891725743
LBN Legal business name Icc Medical Llc
DBA Doing business as Immediate Care Clinic
Authorized official Williams, Roger Todd Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2006
Last updated Apr 20th, 2008 - about 17 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 1891725743 NPPES
Kentucky Other 000000486204 ANTHEM BC/BS
Kentucky MEDICAID 65945404 ANTHEM BC/BS

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