Kentucky Mountain Emergency Physicians

LBN: Kentucky Mountain Emergency Physicians
Kentucky Mountain Emergency Physicians is an health care organization with primary practice located at 5000 Ky Route 321 , Prestonsburg KY 41653-9113. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as the primary health care specialty. Kentucky Mountain Emergency Physicians can be contacted via phone (606) 886-8511, or through Provasnik, Jennifer via phone (800) 355-0808.

Contact Information

Primary practice address
5000 Ky Route 321 Prestonsburg KY 41653-9113
Fax:
Website:
Authorized official contact:
Name: Provasnik, Jennifer

Health care specialties

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

Profile Details

NPI number 1336348523
LBN Legal business name Kentucky Mountain Emergency Physicians
DBA Doing business as
Authorized official Provasnik, Jennifer
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2007
Last updated Jul 17th, 2007 - 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 1336348523 NPPES
Kentucky Other 000000332890 BLUE SHIELD
Kentucky MEDICAID 65943375 BLUE SHIELD

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