Mt Washington Family Practice Pllc
LBN: Mt Washington Family Practice Pllc
Mt Washington Family Practice Pllc is an health care organization with primary practice located at 532 Bardstown Rd N , Mt Washington KY 40047. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Mt Washington Family Practice Pllc can be contacted via phone (502) 955-5800, or through Payne, Michael Steven via phone (502) 955-5800.
Contact Information
Primary practice address
532 Bardstown Rd N
Mt Washington KY 40047
Phone: (502) 955-5800
Fax: (502) 538-3040
Website:
Authorized official contact:
Name: Payne, Michael Steven Doctor of Medicine (MD)
Phone: (502) 955-5800
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 34039 | Kentucky |
Profile Details
| NPI number | 1538295571 |
|---|---|
| LBN Legal business name | Mt Washington Family Practice Pllc |
| DBA Doing business as | |
| Authorized official | Payne, Michael Steven Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Sep 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538295571 | NPPES |
| Kentucky | MEDICAID | 64011109 | |
| Kentucky | Other | 7088131 | |
| Kentucky | Other | DA9753 | |
| Kentucky | Other | 2443395000 | |
| Kentucky | Other | 000000306485 |
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