Patriot One Primary Care Psc

LBN: Patriot One Primary Care Psc
Patriot One Primary Care Psc is an health care organization with primary practice located at 989 Governors Ln Ste 140 , Lexington KY 40513-1174. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Patriot One Primary Care Psc can be contacted via phone (859) 447-8014, or through Lippert, Janine via phone (859) 433-4661.

Contact Information

Primary practice address
989 Governors Ln Ste 140 Lexington KY 40513-1174
Phone: (859) 447-8014
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lippert, Janine PCNP-PC
Phone: (859) 433-4661

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1114660735
LBN Legal business name Patriot One Primary Care Psc
DBA Doing business as
Authorized official Lippert, Janine PCNP-PC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2022
Last updated Aug 2nd, 2022 - about 4 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 1114660735 NPPES
Kentucky MEDICAID 7100137000

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