Pca Southern Indiana

LBN: Pca Corrections Llc
Pca Southern Indiana is an health care organization with primary practice located at 1740 Williamsburg Dr Ste A , Jeffersonville IN 47130-8066. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Pca Corrections Llc can be contacted via phone (502) 964-5359, or through Blacketer, Michael via phone (502) 608-9183.

Contact Information

Primary practice address
1740 Williamsburg Dr Ste A Jeffersonville IN 47130-8066
Phone: (502) 964-5359
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blacketer, Michael
Phone: (502) 608-9183

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X 60006494A Indiana

Profile Details

NPI number 1962870295
LBN Legal business name Pca Corrections Llc
DBA Doing business as Pca Southern Indiana
Authorized official Blacketer, Michael
Entity Organization
Organization subpart 1 No
Enumeration date Sep 3rd, 2015
Last updated Sep 17th, 2015 - about 9 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 1962870295 NPPES
Other 2153835 PK

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