Internal Medicine Associates Of Ky Psc

LBN: Internal Medicine Associates Of Ky Psc
Internal Medicine Associates Of Ky Psc is an health care organization with primary practice located at 2135 Highway 30 Byp Suite 1, London KY 40741-6139. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Internal Medicine Associates Of Ky Psc can be contacted via phone (606) 864-2179, or through Dcosta, Gina via phone (606) 864-2179.

Contact Information

Primary practice address
2135 Highway 30 Byp Suite 1 London KY 40741-6139
Phone: (606) 864-2179
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dcosta, Gina Doctor of Medicine (MD)
Phone: (606) 864-2179

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 39044 Kentucky

Profile Details

NPI number 1396774048
LBN Legal business name Internal Medicine Associates Of Ky Psc
DBA Doing business as Internal Medicine Associates Of Ky Psc
Authorized official Dcosta, Gina Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2006
Last updated Aug 22nd, 2020 - 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 1396774048 NPPES
Kentucky MEDICAID 64094576

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