Jarboe Family Practice, Psc

LBN: Jarboe Family Practice, Psc
Jarboe Family Practice, Psc is an health care organization with primary practice located at 912 Wallace Ave Ste 103 , Leitchfield KY 42754-2405. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Jarboe Family Practice, Psc can be contacted via phone (270) 230-8200, or through Jarboe, Charles Daniel via phone (270) 230-8200.

Contact Information

Primary practice address
912 Wallace Ave Ste 103 Leitchfield KY 42754-2405
Phone: (270) 230-8200
Fax: (270) 230-0882
Website:
Map and Directions
Authorized official contact:
Name: Jarboe, Charles Daniel Doctor of Medicine (MD)
Phone: (270) 230-8200

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1215135801
LBN Legal business name Jarboe Family Practice, Psc
DBA Doing business as
Authorized official Jarboe, Charles Daniel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2007
Last updated Jul 17th, 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 1215135801 NPPES
Kentucky MEDICAID 65937013

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