Sports Medicine And Orthopaedic Center Of Lake Cumberland

LBN: Lake Cumberland Physician Practices Llc
Sports Medicine And Orthopaedic Center Of Lake Cumberland is an health care organization with primary practice located at 353 Bogle St Suite C, Somerset KY 42503-2888. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine, Suppliers / Durable Medical Equipment & Medical Supplies, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Sports Medicine is the primary health care specialty. Lake Cumberland Physician Practices Llc can be contacted via phone (606) 678-2220, or through Miller, Sara via phone (615) 920-7514.

Contact Information

Primary practice address
353 Bogle St Suite C Somerset KY 42503-2888
Phone: (606) 678-2220
Fax: (606) 451-0595
Website:
Map and Directions
Authorized official contact:
Name: Miller, Sara
Phone: (615) 920-7514

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1700198884
LBN Legal business name Lake Cumberland Physician Practices Llc
DBA Doing business as Sports Medicine And Orthopaedic Center Of Lake Cumberland
Authorized official Miller, Sara
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2010
Last updated Sep 27th, 2017 - about 7 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 1700198884 NPPES
Kentucky MEDICAID 7100136480

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