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
Fax:
Website:
Authorized official contact:
Name: Ball, Marquita H Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #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 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891855359 NPPES
Kentucky Other 1054638 PASSPORT GROUP NUMBER
Kentucky MEDICAID 65929457 PASSPORT GROUP NUMBER

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