Jackson Purchase Er Physicians, Psc

LBN: Jackson Purchase Er Physicians, Psc
Jackson Purchase Er Physicians, Psc is an health care organization with primary practice located at 1530 Lone Oak Rd , Paducah KY 42003-7901. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Jackson Purchase Er Physicians, Psc can be contacted via phone (270) 444-0878, or through Vanderboegh, Brian W via phone (270) 444-0878.

Contact Information

Primary practice address
1530 Lone Oak Rd Paducah KY 42003-7901
Phone: (270) 444-0878
Fax: (270) 444-6252
Website:
Map and Directions
Authorized official contact:
Name: Vanderboegh, Brian W Doctor of Medicine (MD)
Phone: (270) 444-0878

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X

Profile Details

NPI number 1093701823
LBN Legal business name Jackson Purchase Er Physicians, Psc
DBA Doing business as
Authorized official Vanderboegh, Brian W Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2005
Last updated Jun 30th, 2008 - about 16 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 1093701823 NPPES
Kentucky MEDICAID 65911323

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