Patrick K Hayden Logan Family Practice

LBN: Patrick K Hayden Logan Family Practice
Patrick K Hayden Logan Family Practice is an health care organization with primary practice located at 1719 Nashville St Suite C, Russellville KY 42276-8855. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Patrick K Hayden Logan Family Practice can be contacted via phone (270) 726-7664, or through Hayden, Patrick Kevin via phone (270) 726-7664.

Contact Information

Primary practice address
1719 Nashville St Suite C Russellville KY 42276-8855
Phone: (270) 726-7664
Fax: (270) 726-9997
Website:
Map and Directions
Authorized official contact:
Name: Hayden, Patrick Kevin Doctor of Medicine (MD)
Phone: (270) 726-7664

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1760594840
LBN Legal business name Patrick K Hayden Logan Family Practice
DBA Doing business as
Authorized official Hayden, Patrick Kevin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Jun 19th, 2008 - about 16 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 1760594840 NPPES
Kentucky MEDICAID 65929481

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