Nga Collard Psc

LBN: Nga Collard Psc
Nga Collard Psc is an health care organization with primary practice located at 1239 Woodland Dr Suite 105, Elizabethtown KY 42701-2770. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Nga Collard Psc can be contacted via phone (270) 765-7676, or through Collard, Nga via phone (270) 765-7676.

Contact Information

Primary practice address
1239 Woodland Dr Suite 105 Elizabethtown KY 42701-2770
Phone: (270) 765-7676
Fax: (270) 982-9222
Website:
Map and Directions
Authorized official contact:
Name: Collard, Nga Doctor of Medicine (MD)
Phone: (270) 765-7676

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23094 Kentucky

Profile Details

NPI number 1104931336
LBN Legal business name Nga Collard Psc
DBA Doing business as
Authorized official Collard, Nga Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2006
Last updated Aug 20th, 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 1104931336 NPPES
Kentucky MEDICAID 64331713
Kentucky MEDICAID 65943649
Kentucky MEDICAID 9590114600
Kentucky MEDICAID 9500360400

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