Pediatric Associates Of Elizabethtown, Pllc
LBN: Pediatric Associates Of Elizabethtown, Pllc
Pediatric Associates Of Elizabethtown, Pllc is an health care organization with primary practice located at 111 Helmwood Plaza Dr , Elizabethtown KY 42701-2480. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Pediatric Associates Of Elizabethtown, Pllc can be contacted via phone (270) 737-4808, or through Ball, Marquita H via phone (270) 737-4808.
Contact Information
Primary practice address
111 Helmwood Plaza Dr
Elizabethtown KY 42701-2480
Phone: (270) 737-4808
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1891855359 |
|---|---|
| LBN Legal business name | Pediatric Associates Of Elizabethtown, Pllc |
| DBA Doing business as | |
| Authorized official | Ball, Marquita H Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Jul 19th, 2024 - about 4 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891855359 | NPPES |
| Kentucky | Other | 1054638 | PASSPORT GROUP NUMBER |
| Kentucky | MEDICAID | 65929457 | PASSPORT GROUP NUMBER |
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