Mountain View Family Practice

LBN: Mountain View Family Practice Pllc
Mountain View Family Practice is an health care organization with primary practice located at 272 London Mountain View Dr , London KY 40741-6601. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Mountain View Family Practice Pllc can be contacted via phone (606) 877-2850, or through Kreis, Samuel Duane via phone (606) 877-2850.

Contact Information

Primary practice address
272 London Mountain View Dr London KY 40741-6601
Phone: (606) 877-2850
Fax: (606) 877-2857
Website:
Map and Directions
Authorized official contact:
Name: Kreis, Samuel Duane Doctor of Medicine (MD)
Phone: (606) 877-2850

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1265621213
LBN Legal business name Mountain View Family Practice Pllc
DBA Doing business as Mountain View Family Practice
Authorized official Kreis, Samuel Duane Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2007
Last updated Sep 17th, 2019 - about 5 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 1265621213 NPPES
Kentucky MEDICAID 7100140520
Kentucky MEDICAID 65944589
Kentucky Other P00278839
Kentucky Other DE2149

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