Pediatric Associates Of Hazard

LBN: Pediatric Associates
Pediatric Associates Of Hazard is an health care organization with primary practice located at 1710 N Main St Pediatric Associates, Hazard KY 41701-1278. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Pediatric Associates can be contacted via phone (606) 487-8300, or through So, Djien Hwat via phone (606) 487-8300.

Contact Information

Primary practice address
1710 N Main St Pediatric Associates Hazard KY 41701-1278
Phone: (606) 487-8300
Fax: (606) 436-9953
Website:
Map and Directions
Authorized official contact:
Name: So, Djien Hwat
Phone: (606) 487-8300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X 900138 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3006127 Kentucky

Profile Details

NPI number 1487600615
LBN Legal business name Pediatric Associates
DBA Doing business as Pediatric Associates Of Hazard
Authorized official So, Djien Hwat
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Mar 27th, 2019 - about 6 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 1487600615 NPPES
Kentucky MEDICAID 35001627

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