Lake Cumberland Pediatrics Pllc
LBN: Lake Cumberland Pediatrics Pllc
Lake Cumberland Pediatrics Pllc is an health care organization with primary practice located at 268 Rolling Hills Blvd. , Monticello KY 42633-9004. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
Lake Cumberland Pediatrics Pllc can be contacted via phone (606) 753-0293, or through Brown, Joseph Clay via phone (606) 753-0293.
Contact Information
Primary practice address
268 Rolling Hills Blvd.
Monticello KY 42633-9004
Phone: (606) 753-0293
Fax: (606) 753-0291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | 900327 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1518406859 |
|---|---|
| LBN Legal business name | Lake Cumberland Pediatrics Pllc |
| DBA Doing business as | |
| Authorized official | Brown, Joseph Clay Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 20th, 2017 |
| Last updated | May 27th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518406859 | NPPES |
| Kentucky | Other | 900327 | RHC LIC |
| Kentucky | Other | 18-8969 | RHC LIC |
| Kentucky | MEDICAID | 7100447120 | RHC LIC |
| Kentucky | Other | 7100462460 | RHC LIC |
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